Homestead_Neidigh I
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)/GlitANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
Rebecca S.Strange .
Address(number and street) Address(number and street)
PO BOX 42 , 15Sktb G- sigtke. eci 6k4
City,State and ZIP Code City, State and ZIP Code Ft r 1
Princeton, IN 47670 '1 ,
Country • Country -I.LED
United States of America
Email Address
knowledge an lief,is true,correct,an complete as required
f
by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentiona% " (Ilue citransferred real property,or
omits or falsifies any information required to be provided,commits a Level$felony. SQN CO(4
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4lin 412)
Signature of Seller'
Signature of Seller ,17)V__iron
VZ.A3L.u-t.r.L.S Sivaryqust
Printed Name of Seller Date Signed(mm/dd/ Printed Name of Seller I Date Signed(mm/dd/yyyy)-
Rebecca S.Strang'e YYYY)
I 1-n--03-cr
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
Vickie Neidigh
Address(number and street) Address(number and street)
214 N Center St;
City,State and ZIP Code City, State and ZIP Code
Mount Vernon,IN 47620
Country . Country
United States of A:nerica
Email Address
for certain deductions.Identify all of those that apply:
YES NO COPIDITION YES NO CONDITION
1
El 0 1. 1/Vill this property be the buyer's primary residence? El 0 3. Homestead
0 WI 2. Doles the buyer have a homestead to be vacated for 0 El 4. Solar Energy Heating or Cooling System
this residence? If yes,provide address: 0 El 5. Wind Power Device
Address(number nd street)
0 El 6. Hydroelectric Power Device
a
0 El 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
Under penalties of herjury",I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete as