Homestead_Grayson H. PREPARER
Preparer of the Sales Disclosure Form Title
Milton Norman
Address(number and street,city,state,country,and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville,IN 47708
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as It appears on conveyance document Seller 2—Name as appears on1j a ocument
Felicia Ann Genco n/k/a Felicia Siekman
Address(number and street) Address(number and street) ! Ej)
City,State,and ZIP Code City,State,and ZIP Code NOV
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US
Email Address
who knowingly and intentionally falsifies the = ue of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Sellerer Signature of Seller
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Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Felicia Ann Genco n/k/a FellciriSlekman 11/13/24
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
William K.Grayson
Address(number and street) Address(number and street)
City,State.and ZIP code • City,State,and ZIP Code
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Country Country
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
XI1,Will this property be the buyer's primary ® 0 3.Homestead
residence? 0 IX 4.Solar Energy Heating or Cooling System
0 1 2.Does the buyer have a homestead to be vacated 0 IX 5.Wind Power Device
for this residence?If yes,provide address: 0 ® 6.Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
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