Homestead_Bates (2) ' ........- - .
H. PREPARER t_ .
Preparer of the Sales Disclosure Form Title
Settlement Arrant
Company
Address(number and street,city,state,country,and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville,IN 47708
- ' I, SELLER(S)JGRANTOR(s) .
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Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document •
Kyle L Mills
Address(number and street) ' • Address(number and street)
231 W Morton Street
City,State,and ZIP Code City,State,and ZIP Code
Oakland City,IN 47680
Country - Country
US
- . .
Emag Address Telephone Number Email Address . Telephone Number
I ) i I
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 falsities the value of transferred
real property,or omits or falsifies any infonnelloe required to be provided,correnits a Level 5 febny. .
Signature of Seller : Signature of Seller
Printed Name of Seller Date Signed(mmtddryyyy) Printed Name of Seller Date Signed(mrrIlddlyyyy)
Kyle L Has
J.BUYER(S)!PRANTEE(S)-7. APPUCAT1ON FOR PROPERTY_TAX DEDUCT!. 1. . - A, r :PLY . .
. • -
Buyer 1-Name as It appears on conveyance document Buyer 2-Name as it a....:1%rs- • filo .•, •. d. iii•;-.,;
Jennffer Bates
Address(number and street) - Address(number and street)
. ., ig • e • A 4.1 • .1 1 '
City.State a d ZIP .•.,- • ': , City.State,and ZIP Code I ' •' II
- .
Country , Country
US ...Al S.* A * • (/-he..•. „ a //4,'4•24)
( )
Pursuant to IC 6-1-1-1244;the Sales Madames 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 ao o 3.Homestead
P9 LA residence? 0 MI 4.Solar Energy Heating or Cooling System
is( 2.Does the buyer have a homestead to be vacated 0 OD 5.Wind Power Device
for this residence?If yes,provide address: 0 01) 6.Hydroelectric Power Device
Address(number and street) 0 Et 7.Geothermal Energy Heating or Cooling Device
. . .
City.State,and ZIP Code County
7-10— - 392 -000, 823 — ooR. •
' :1".•'1 :14., ....., ,
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