Homestead_Eaton 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
Janice Lin Rausch
•
Address(nurker nd strte_eld A Address(number and street)
41 VIA,C\ .)1 •
Aratit".nd 71°Code , City,state,and ZIP Code
(3 CA Uati b I k7 LI aX2 3
Country Country '
US US
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E-Al/d re
of my knowledge and belief,Is true,correct and complete as
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requl d 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
reel property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Si nature f Selle ip•IP,
e . Signature of Seller
aud J.)
P in d me of Seller
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Date signed(mm/dcf/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Janice Lin Rausch 1/22/2025
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCT ENTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name it p rs on veyance document
Kelsey Eaton
Address(number and street) Address(number and street)
2424 Negley Court
•
City,state,and ZIP Code City,s#1, Col and ZIP Ca 20
Evansville IN 47711 • 5.
Country Cour*T43'cfeeete PC-'\- 3 ,
US US IV% C°I
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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
1.Will this property be the buyer's primary 0 0 3. Homestead
0 0 residence? 0 0 4.Solar Energy Heating or Cooling System
V2. Does the buyer have a homestead to be vacated 0 E 5.Wind Power Device
0 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
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