Homestead_Frederick •
H. PREPARER
Preparer of the Sales Disclosure Form Title
Sarah McDaniels 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
Joshua M. Childers Kelly J. Childers
Adglress(number an str et) ,� Address(number and street)
o S 1Zy\1 t\D\VA,' M
City state,and ZIP Code , City,state,and ZIP Code
),,fIrtu��k \ \ TIO L Ni o r.C,k o, 1 n �7 11
Country Country
US US
E-mailt address ad ress
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and i nally falsifies the value of transferred
real property,of omits or falsifies any information required to be provided,commits a Lev 5 elony.
Sig I Si ature f eller
t�/ �� f Se ned(mm/dd/yyyy)
ame of Seller ,at sip'ed( I,. ' ) /Prin Na
shua M. Chil
ders -412/ / t. i F / KeI J. C ders 12/20/2024
J. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DED CTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance dEkeeri1 -2024 Buyer 2-Name as it appears on conveyance document
Kyle Joseph Frederick
Address(number and street) Address(number and street) .,
,.
610 E Broadway St a & i,4/l!.,.�_ ' �"
City,state,and ZIP Code F' City,state,and ZIP Code•Princeton, IN 47670 1 ,
Country eR'
Country
apply for certain deductions.Identify all of those that apply
YES NO CONDITION YES NO CONDITION /r/
1.Will this property be the buyer's primary O O 3. Homestead (\ ,
O O residence? 0 O 4. Solar Energy Heating or Cooling Sy em
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O for this residence? If yes, provide address: 0 p 6. Hydroelectric Power Device
Address(number and street) O O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 19R,6-2 0 - 1 f, -103_Coo. V --00 2_ ,
Last 5 of SSN:
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