Homestead_Ross (2) H. PREPABER
Proponnrcf the Sales Disclosure Form TlUn
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
|. SELLER(S)/GRANTOR(G) H
Seller 1 —Nomoan it appears on conveyance document Seller 2—Nomo an it appears on oonv+ncfd&4� mw�'
Logan J.Wolfe Haley J.Wolfe
O�T � � �M��
Address (number and street) Address (number and street) "� ' ,� ," ^°^' °�Yk
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53OVVTruo|orSt. 53UVVTruo|erSt.
City. State and ZIP Code City. State and ZIP Code
Oakland City. IN 47660 Oakland City. IN 47660 G|BGON COUNTY AUDITOR
Country Country
United States ofAmerica United States ofAmerica
Email Address
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
u;law,and io prepared in accordance with|os'1.1'o.o.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.
^ Signa{u f�bf- er
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Printed Na '�vData Gignad (mm�d/ Phnted Na o/b/GoUor - Da0o Signed <mmmu/yyvv>
''' °' yyyy) Haley m�|�/ 1U/25��O24
LoganJ�VVo|fa � ,,"."
1O/25/ZU24
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
yNahuh LRoos Isaac Thoophi|uuRoss
Address (number and street) Address (number and street)
852O East 3R 64 3525 East Sn04
City, State and ZIP Code City. State and ZIP Coda
Winslow, IN 47588 Winslow, IN 47588
Country Country
United States ofAmerica United States ofAmerica
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 YES NO CONDITION
GO O 1. Will this property bo the buyer's primary residence? EO O 8. Homestead
O ^ Z 2. Does the buyer have a homestead to be vacated for O EQ 4. Solar Energy Heating orCno|i
this residence? |f yes, provide address: El [� �. ��nd Power Device
jopk
ElB 8. Hydnoo|n��hoPowerDevice
Address (number and street) El
EO 7. Geothermal Energy Heating or Cooling D*«ion
City, State.and ZIP Code County
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best ofnnyknowledge and belief, in true, correct, and complete
as,onui,eu by|avv,and is p,npa,ou in accordance with |o 6'1.1'5.5.A person who knowingly and intentionally falsifies the value o/transferred real property,or omits or falsifies any information required to be proviuou,commits a Level afv|ony. (mote:Both spouse's
information, SSN/Driver's LicensellDlOther Number is necessary if a Homestead Deduction is being fi/ed.)
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