Homestead_McKannan (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D.Tracey Escrow Officer
Company
Address (number and street,city,state,country,and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
Marty L.Rogier
Address(number and street) Address(number and street) —
521 S Eighth St •
City,State and ZIP Code City,State and ZIP Code
I-leubstadt,IN 47639
Country Country
United States of America
Email Address
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.
Si . ellei4 • Signature of Seller
rimed e of Se er Date Signed(mm/dd/ Printed Name of Seller Date Signed(mmldd/yyyy)
Marty L. Rogier YYYY) . f
"...
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY -cr,,... .z....-..i;•
Buyer 1 -Name as it appears on conveyance document
Buyer 2-Name as it appea o nveyance document 411111k
Robert W.Fechtman,as Trustee for Trust For the Sole Benefit of
Kaden R.McKannan .
Address(number and street) Address(number and street) e
8555 Rover Road,Suite 420
City,State and ZIP Code City,State and ZIP Code 4pR /5 ,,,„
Indianapolis, IN 46240 , 4 Ue5
Country • Country
>41 O e 2,v;/4ze YYN
United States of America Gies
iv o ro
_
deductions.Identify all of those thanwply:
YES NO CONDITION YES NO CONDITION
M 0 1. Will this property be the buyer's primary residence? M 0 3. Homestead
0 El 2. Does the buyer have a homestead to be vacated for El El 4. Solar Energy Heating or Cooling System
this residence? If yes,provide address: 0 0 5. Wind Power Device
0 0 6. Hydroelectric Power bevice
Address(number and street)
0 I23 7. Geothermal Energy Heating or Cooling Device
City, State,and ZIP Code County
-0 k..12- a CO-OCO -.19 -009'
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,SSW/Driver's