Homestead_Cieslinski H. PREPARER
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
Christopher S. Watts
Address(number and street) Address(number and street)
692 South Concord Drive
City,state,and ZIP Code City,state,and ZIP Code
Princeton IN 47670
Country Country
US US
- . .-rjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
requir,:: by la ,and epared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real operty or o i s or information required to be provided,commits a Level 5 felony.
S'! e o ell Signature of Seller
il" it
ii
•ri -d Nam= eller Date signed(mm/ddlyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Christopher S. Watts 11/27/2024
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL P Y
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance docu
Daxton M. Cieslinski
Address(numbe
-
68 r and street) Address(number and street) QF
City,state,and ZIP Code i C 02 Z
City,state,and ZIP Code 04
Fort Branch IN 47648 c/ 'SOA. '�
Country Country ' COU
Co
"IU/"r",'2,7)
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
residence? 0 Q 4. Solar Energy Heating or Cooling System
0 2. Does the buyer have a homestead to be vacated 0 05.Wind Power Device
for this residence?If yes, provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
2b-19-1g--toa--000 , 0231-
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/ID/Other Number is necessary if a Homestead Deduction is being filed.)
Last 5 of SSN: .
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