Homestead_Watts H. PREPARER 1 •
Preparer of the Sales Disclosure Form Title
Allyn Tresenriter Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715 •
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Jeffrey Brock Pankake Leda Dawn Pankake
Address(number and stre t) Addr ss(number an street) nn
�11)4 �,e� � pros . 'II)4 re no r'fp5�,�-e �.
City,ssta_te,and ZIP Code City,
/ �T� City,state.
and•ZIP Code
Count Xlr�P.�Q Strylot' S FL Country
US ,h, j ��
US US `
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
r al property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
gnatu el r ?„‘ 81na ra{I��Set
P i ' f Iler Date signed(mm/dd/yyyy) •f tee ame of Seller El)
Date signed(mm/dd/yyyy)
Jeff ey Brock Pankake 11/27/2024 Leda Dawn Pankake DEC1/27/2024(('�'
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL TI1A1'R$ILY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appear n conveyance document
Christopher S.Watts Christian N. Gentry
Address(number and streeteran I ��
692 South Concord Drive 692rSo South Concord tDri Drive
COVNTMAUDIT R
City,state,and ZIP Code . City,state,and ZIP Code
Princeton IN 47670 Princeton IN 47670
Country Country
US US
I YES NO CONDITION YES NO CONDITION
1`i` O 1.Will this property be the buyer's primary C) 0 3. Homestead
(.1 residence? •
(2 Cl 4. Solar Energy Heating or Cooling System
cc0Jv ID n 2. Does the buyer have a homestead to be vacated 0 C) 5.Wind Power Device
pp O for this residence? If yes,provide address: O IO 6. Hydroelectric Power Device
Address(number and street) O C) 7. Geothermal Energy Heating or Cooling Device
305 S Hillcrest St
— City,state,ZIP code,and county qq
I Fort Branch IN47648 O',C-ll - IL\-(Ci --000 010_o24- .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
I as requ' -d .
.,
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