Homestead_Wright (10) H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D.Tracey 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 1 i t
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conve cee urrfent�
Y PP an oc
Y
Mathew G. Brown Breianna M. Brown
Address(number and street) Address(number and street) NOV 117 2024 e ',
6317W475S 6317W4755
City, State and ZIP Code City, State and ZIP Code %¢aunt`&r Ji Dina)
Owensville, IN 47665 Owensville, IN 47665 GIBSON COUNTY AUDITOR
Country Country
United States of America United States of America
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
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 infer " n required to be provided,commits a Level 5 felony. t
Signature of Seller tif!I,k ture of t�
Printed Name of Seller I! Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/ddlyyyy)
Mathew G. Brown YYYY) (i/'QC' f70.i,44 Breianna M. Brown > \--S - 2—(-
1,
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY l
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
David Wright Diana L.Wright
Address(number and street) Address(number and street)
City, State and IP Code City, State an ZIP Code
Country Country
United States of America United States of America
Email Address
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:
YE NO CONDITION Y-ES/ NO CONDITION
0 N❑ 1. Will this property be the buyer's primary residence? H ❑ . Homestead r` r
2. Does the buyer have a homestead to be vacated for ❑ /4. Solar Energy Heating o°`ol.,; :y,i ,*
this residence? If yes, provide address: 0 L9' 5. Wind Power Device ?'
Address (number and street) El II/�66. Hydroelectric Power Device 4
0 ❑✓7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County 21„1 g,06,—I pO-Oo f f 3,R 3—d
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 in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of