Homestead_King H. PREPARER i
Preparer of the Sales Disclosure Form Title 1
Leah Brown Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Michael R.Wilson Connie J.Wilson
1 Address(number and street) Address(number and street)
110E Rock Road 110E Rock Road
City,State,and ZIP Code City,State,and ZIP Code
Owensville,IN 47665 Owensville,IN 47665
Country Country
US US
Email A'dress
Under benalties of perjury,I hereby certify 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 fal ifies any information required to be provided,commits a Level 5 felony.
Signatuie Sel r 2,7 r[ l ' Signature of Seller 1
/714.11
i,,,,
rinted Name of Seller Date Signed(mm/dd/yyyy) Panted.Name of'' r Date Signed(mm/ddlyyyy)
Michael R.Wilson 02/14/2025 Connie J.Wilson 02/14/2025
i J. BUYER(S)IGRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTION —IDENTIFY ALL THAT APPLY
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Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it ;o nveyance document I
Ethan King
i Address(number and street) Address(number and street) ED5539 E State Road 64
City,State,and ZIP Code City,State,and ZIP C48 1
Francisco,IN 47649 r 2025
Country Country
US Grg�
- VNTY �( )
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify a those that apply: _ 4
YES NO CONDITION YES NO CONDITION
® 1.Will this property be the buyer's primary ® 0 3. Homestead
residence? 0 ® 4.Solar Energy Heating or Cooling System
® 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
for this residence? If yes,provide address: p ® 6. Hydroelectric Power Device
Address(number and street) Q (id 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
y «-ioo - 000. - oo,
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