Homestead_Thompson H.' PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
Maurice Wayne Hall
Address (number and street) Address (number and street)
6522 Yorktown Ct.
City, State and ZIP Code City, State and ZIP Code
Newburgh, IN 47630 ,
Country Country
United States of America
/
Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowledge and belief, is true, correct,and complete as
required by law,and is prepared in 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.
xS gyn,,p ofe�, / x6, Signature of Seller
Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy)
Maurice Wayne Hall YYYY)
10/10/2024
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APP
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appearPWAYc. 4 : Ae!= 91 bN
ompson Subject to final acc:,'an . or Transfer
ddress (number arty sfreet) Address (number and street) day of
2110 Ashton Ct. ®�
City, State and ZIP Code City, State and ZIP Cody, OS
Princeton, IN 47670 I
/S' ' or Gibson Cou y STR
Country Country 00 �-.,
United States of America C/L}
Email Address
6/T .
4.
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify a ''of those t •
YES NO CONDITION YES NO CONDITION
E✓1 ❑ 1. Will this property be the buyer's primary residence? Cal 0 3. Homestead
- ❑ El 4. Solar Energy Heating or Cooling System
0 Il 2. Does the buyer have a homestead to be vacated for 0 El 5. Wind Power Device
this residence? If yes, provide address:
- 0 El 6. Hydroelectric Power Device
Address (number and street) ❑ El 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
6P1(o -Oc'-ILe- a 01 - ooD, 5As--0ao