Homestead_Thompson (19) H. PREPARER
Preparer of the Sales Disclosure Form Title
Stacy Lee Brown Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Avenue, Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conVi e m:
Dillon Napoleon Drouillard ' r
(number and street) T 'Address
Address(number and sire L'/
City,State,and ZIP Code City,State,and ode < 4
Country Country `SON
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.
Signature of Seller Signature of Seller
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Dillon Napoleon Drouillard October 25, 2024 October 25, 2024
J. BUYER(S)/GRANTEE(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
Michael Thompson
Address(number and street) Address(number and street)
903 East Kentucky Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670
Country Country
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION 1 YES NO CONDITION
1.Will this property be the buyer's primary a ❑ 3. Homestead
residence? ❑ 4.Solar Energy Heating or Cooling System
i ❑ � 2.Does the buyer have a homestead to be vacated El [i 5.Wind Power Device
. for this residence?If yes,provide address: ❑ IZirli 6.Hydroelectric Power Device
Address(number and street) ❑ Ili 7.Geothermal Energy Heating or Cooling Devic
City,State,ZIP code,and County %r 1 z—n— t 0( -
0(94.
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