Homestead_Greene ...., — —
H. PREPARER
Preparer of the Sales Disclosure Form Title
Leah Brown Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code) i
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
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I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Kerry W.Timberlake
Address(number and street) Address(number and street)
2188 E CR 150N
City,State,and ZIP Code City,State,and ZIP Code
Sullivan,IN 47882
Country Country
US
( )
Under penalties 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 prope ,or omits or faisifi - 0 'nfo 1.atietrrequITOTo150"-provided,commits a Level 5 felony.
I --
A Signat •LairSeller A,4•00 -7? "--- -----, Signature of Seller
1 'tinted .. e of -41-7, 1114:79,r().•..gi •./yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Kerry .Timberlake 7 -. . 5 --
04/30/2025.
J. BUYER(SWGRANTEE(S)—AP•L CATION FOR PROPERTY TAX DEDUCTIONS) • 'T AJHAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appea -'•niA•nve • b ent
Amy M.Greene
Address(number and street) Address(number and strhat,
106 E Vine Street2025
City,State,and ZIP Code City,State,an‘..'Code
Patoka,IN 47666
0, Country Country 8S 4g-e-e
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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
N 0 3.Homestead
— IEJ 0 residence? 0 I 4.Solar Energy Heating or Cooling System
0 •
cnt rio dB 2.Does the buyer have a homestead to be vacated 0 N 5.Wind Power Device
,. ._
for this residence? If yes,provide address: 0 N 6.Hydroelectric Power Device
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c.,1 Address(nwpber apd street) „. +... 0 ( 7.Geothermal Energy Heating or Cooling Device
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41u 1) I, 1 ' County on—OF1-00 . 21 ci—o ft
t Under penalties df 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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