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Homestead_Williams (19)
H. PREPARER Preparer of the Sales Disclosure Form Title 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 I. SELLER(S)/GRANTOR(S) Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears°ELL',at i Amber R. Seaton David L. Seaton II Address(number and street) Address(number and street) NOV 2 2024 804 Creek Dr. 804 Creek Dr. City, State and ZIP Code City, State and ZIP Code Fort Branch, IN 47648 Fort Branch, IN 47648 A.c.„4.azzQ. ,1/ j Country Country GIBSON COUNTY ALIDI' ?i 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 information required to be provided,commits a Level 5 felony. gn to er Signature of Seller77 ,L Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy) Amber R.Seaton YYYY) David L. Seaton II 11/15/2024 11/15/2024 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 Andrew M.Williams Address(number and street) Address(number and street) CI 5255 Landview Dr. City, State and ZIP Code City, State and ZIP Code ' • Newburgh, IN 47630 , .` ,4160, Country Country United States of America 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 E1 0 1. Will this property be the buyer's primary residence? © 0 3. Homestead / 0 Izl 2. Does the buyer have a homestead to be vacated for ❑ © 4. Solar Energy Heating or Cooling System this residence? If yes, provide address: El RI 5. Wind Power Device Address(number and street) 0 I l 6. Hydroelectric Power Device ❑ © 7. Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County ( lC1 —1 - t°1 —0 0 i 169 — O 2_ . 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 transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's information,SSN/Driver's License//D/Other Number is necessary if a Homestead Deduction is being filed.) Paae 3