Homestead_Cockrell I .
H. PREPARER I ,
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer •
Company
I
Address(number'land street, city,state,country,and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)IGIANTOR(S) .
Seller 1 —Name a's it appears on conveyance document, Seller 2—Name as it appears on conve ance document
i
Stephen Edward Andrecht Shannon Andrecht
Address(number and street) Address(number and street)FI ED ,
532 W Poplar Ave"
532 W Poplar Ave
City,State and ZII?Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670 JUL 1 5. 2025 • ,
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Country Country
United States of America United States of America (the.;. a
COUN , .
Email Address , Email Address GIBSON
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omits or falsifies any Information required to be provided,commits a Level 6 felony.
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Print id Name of Seller Date Signed(mm/dd/ Pr ted ame of Seller Date Signed(mm/dd/yyyy)
1
Stephen Edward Andrecht yyyy) Shannon Andrecht - 7/10/2025
I 7/10/2025
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
Weston Cockrell Faith Victoria Cockrell
Address(number and street) Address(number and street)
610 Grover Davis Rd. 610 Grover Davis Rd.
City,State and ZIP,Code City, State and ZIP Code
Hamilton,AR 35570 Hamilton,AR 35570
Country Country
United States of Ain erica United States of America
Email Address
YES NO CONDITION YES NO CONDITION
1
El 0 1. Will this property be the buyers primary residence? lI 0 3. Homestead
0 El 2. Doles the buyer have a homestead to be vacated for 0 El 4. Solar Energy Heating or,f:ool'". .,,tem
this rOsidence? If yes, provide address: 0 ET 5. Wind Power Device
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Address(number nd street)
0 El 6. Hydroelectric Power Device
e
0 RI 7. Geothermal Energy Heating or Coo ng De
City,State,and ZIP1 Code County
I a6,11_42,460-0,0/./gT,as2'7
Under penalties of rirerjury,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 oi falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's information,SSN/Driver's ,
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