Homestead_Osborn 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
Kyle D. Dowell Rodney A. Dowell
Address(number and street) . Address (number and street)
815 S. Concord Dr. 815 S. Concord Dr.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
United States of America United States of America
Email Address ?
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 . - el 5 felony.
7rSSignature of Seller ignaturc of er77f -
rs
Priri ei of Seller Date Signed (mmldd/ Printe. Name of Sell: Date Signed (mm/dd/yyyy)
Kyle D. Dowell YYYY) Rodney A. Dowell ,t 10/22/2024
10/22/2024 „777
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT AP
to apply for certain deductions. Identify all of those that apply:
•
/� YES NO CONDITION YES NO CONDITION -",
I_ d�4e�•.
.� RI 0 1. Will this property be the buyer's primary residence? LZI ❑ 3. Homestead ,-
/ 0 ❑ 4. Solar Energy Heating or Coolin.'z"`s.�:, �1
Ni pJ 0 2. Does the buyer have a homestead to be vacated for ❑ p 5. Wind Power Device -
O this residence? If yes, provide address: ID El 6. Hydroelectric Power Device
.� Address(number and street) 0 IZI 7. Geothermal Energy Heating or Cooling Device
—0 73 1-1 Af FT06 Pend Rd
City, State,/and ZIP Code/12,11 ' ��l f� County � O aU" 1‘
I '\r'•70 --CD°S • b JC1 - C7 2_ ` .
67 OS
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
O 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
t transferred real property,or omits or falsifies any information required to be provided, commits a Level 5 felony.(Note:Both spouse's
information, SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
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