Homestead_Wilson (19) H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E.Smith Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715 ,"
I.SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance m n
Gibson County Holdings LLC 0' 7-Address(number and street) Address(number and street) " 09
1550 W French Drive 1Q1�
City,State,and ZIP Code City,State,and All
Terre Haute, IN 47802-9661 Spy y
Country Country • � -
�v� !
q O
person who knowingly and Intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signet o SSell r Signature of Seller
Prin ed tilchie of Seller Date Signed(mm/d ) Printed Name of Seller.:. Date Signed(mm/dd/yyyy)
Mark Shawn Isaacs,Member September 12,2024 September 12,2024 _
J. BUYER(S)IGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL,THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Evan M.Wilson Aleigha N. Bateman -
Address(number and street) Address(number and street) " -�,�
702 N Gibson Street 702 N Gibson Street M1 , ,44 .E
, City,State,and ZIP Code City,State,
Princeton, IN 47670-1606 Princeton,aIN 47670-1606 � C°„ r3 _.
Country Country
il ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? 0 Er 4.Solar Energy Heating or Cooling System
�-� Does the buyer have a homestead to be vacated El El 5.Wind Power Device
❑ for this residence?If yes,provide address: ❑ Er 6.Hydroelectric Power Device
Address(number and street) ❑ E' 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County a-‘z—0"1 Zoo^ 0 Ot •-3O 0_ 02Y,
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
as required by law,and is prepared to accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of
transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.(Note:Both spouse's
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