Homestead_Parker H. PREPARER
Preparer of the Sa s isclre For rrl � Title
ik /4
I Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S) ,
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears gR'f o ,ey nce .e. ent
Paul Ray Welton �C #
Address(number and street) Address(number and street)
' 4333 Bell Road,Unit 710City,State,and ZIP Al
Newburgh,IN 47630 Code City,Stale,and ZIP Code `Y Y i /7, 7
202/
Country Country
US G/8,40 2 .
Email Address '
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.
Si g_alLifn e of Seller Signature of Seller
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Paul Ray Welton 11/07/2024 11/07/2024
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
Jeremy L.Parker Lade J.Parker
Address(number and street) Address(number and street) s
500 E Gibson St 500 E Gibson St ,
City,State,and ZIP Code City,State,and ZIP Code - -'" , r�, �
Haubstadt,IN 47639 Haubstadt,IN 47639 f ` oN
Country Country
US US
R)irpt
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Q... 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:
0 ' YES NO CONDITION ES NO CONDITION
O 1.Will this property be the buyer's primary 0 3. Homestead
t 0 residence?
CrGO4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated ® 5.Wind Power Device
p for this residence? If yes,provide address: 0 I-1X 6.Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
500 E Gibson St.
R City,State,and ZIP Code County
t Haubstadt, IN 47639 Gibson 26 - 1 S- C- 1-ttl. -0 00500 - °(I" '
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