Homestead_Williams (51) H. PREPARER
_
Preparer of the Sales Disclosure Form -- Title .
Milton Norman Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville,IN 47708
I.SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Jacob Jarboe
Address(number and street) Address(number and s' )7
520 N.Gibson St. r City,State,and ZIP Code City,Slate,and ZIP Code Y 1`
Princeton,IN 47670
Country Country 41J-
US I
Email Address
of my Kip 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 knowin ..;i - onalty falsifies the value of transferred
real property,or omits or falsifies any Information required to be provided,commits a Lev
j i s'' Signature of Seller �l/0/
Tinted Name of Teller Date fed d ) Printed Name of Seller 9 Date Signed(mm/dd/yyyy)
Jacob Jarboe / �• �
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document .
Javden Wayne Williams
Address(number and street) Address(number and street)
6920 Sweet Gum Ct Apt 3 .
City,State,and ZIP Code City,State,and ZIP Code
Evansville,IN 47710 •
Country Country
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 3.Homestead
residence? 0 ® 4.Solar Energy Heating or Cooling System
❑ IN for
Does the buyer have a homestead to be vacated 0 OD 5.Wind Power Device
for this residence?If yes,provide address: ❑ ® 6.Hydroelectric Power Device
Address(number and street) Cr (l 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County Z(_ 1_
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