Homestead_Lloyd (13) H. PREPARER
Preparer of the Sales Disclosure Form Title
Haley Smith Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Alex M. Carr
Address(number nd street) Address(number and street)
SO c L, Tr-e Lv,. .
City state,and ZIP Code City,state,and ZIP Code
/ L n
US 4/0
Country Country CC.�� y , ,n
of my knowledge and beli (., rect and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally aT e value of tr red
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. 00.
raISeller
Signature of Seller ORcatit
ed✓`t/Naa/me Sel Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/d y)
Alex M. Carr 11/21/2024
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
William Lloyd
Address(number and street) Address(number and street)
2167 South Old State Road 65
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665
Country Country
US US
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary O 0 3. Homestead
r idence? 0 0 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
for this residence?If yes,provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
Last 5 of SSN:
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