Homestead_Gorman H. PREPARER: _ .__ _ _•_____
Preparer of the Sales Disclosure Forrn 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.tELLER(S)/ORANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on co ance document
Mission Real Estate Group,II nc.
Address(number and street) Address(number and street)
P.O.Box 543 -14,
City,State,and ZIP Code City,State,and ZIP Code
Owensville 47665 Siefr -40
Country Country ( c7,9
2025
us
o4s,
Email Address
'v C04 ._C? ( )
Under penalties of perjuryjhereby, certify this Sales Disclosure,to the best of my knowledge and belidfjs rrect,and complete as
required by law,and Is prepared in accordance with IC 6A.1755.A'person who knowingly and intentionelly, , ) value of transferred
real property, •r 9 _ aISifies I ation required to be prOVIded,commits a Level 5 felony. 0"?
Signature .:..Ve
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Signature of Seller
ted Name-o er Date S.tnecertn/dd./Dyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
'I James Chappell,President • 1 -3 s A
...
J. BUYER(S)JGRANTEE(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
Conner William Gorman
Ad4v.ss(number and streeVii, , , j Address(number and street)
19 et) ,_, ( j le f 1 li cs-preo-t-
-)f_ _
City, te,anyipt Coale ,..4 /--) -.i. City,State,and ZIP Code
ithryi LI h./' /A/ q71
Country Country
apply for certain deductions.Identifyaltof those that apply::
YES NO CONDITION YES NO CONDITION
' 1.Will this property be the buyer's primary 12 0 • 3.Homestead
(XI0 residence? 0 CO 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 NI 5.Wind Power Device
0 OD for this residence? If yes,provide address: 0 I21 6.Hydroelectric Power Device
Address(number and street) 0 11) 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County ---• '3
'- -6 _loll —009 sgz3 —col- .
Under penalties of perjury,I hereby.certify that this Sales:Disclosure,to the best of my knowledge and'belief,Is true,.correct,and comPlete
3
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