Homestead_Darius H. PREPARER
Preparer of the Sales Disclosure Form Title
Kris Coon Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave., Suite 102, Evansville, IN 47714
I.SELLER(S)/GRANTOR(S) I
Seller 1—Name as It appears on conveyance document Seller 2—Name as appears on c en d ment
Robert J. Graves
Addr ( u era r st 1 Address(number and street)
,f
Cit , a e,4,05ode7Cfl I City,state,and ZIP Code ryOG
Country Country G/e S
USA USA 504,
E-mail address
to the best of my knowledge and belief,Is true;. :nd complete as
required by law,and Is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally falsifies' value of transferred
real property,or omits or falsifies any Information :••ulred to be pr.vi. I . a :yet.-felony.
Signature of Sell r 'a'57) ��'r.': j.• "Y""" re o e,•�f
rltt r 0S Q L k1)O�r�Or` i nvc s, ! .
Prin ed Nam Ilex trn a n • dd/yyyy) Printed NaTj.of Seller Date signed(mm/dd/yyyy)
Robert J. Graves
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'an conveyance document
Jimmy Darius
Address(number and street) Address(number and street)
126 North Jackson Street
City,state,and ZIP Code City,state,and ZIP Code
Oakland City IN 47660
Country Country
USA USA
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 0 0 3. Homestead
residence? O O 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
or this residence?If yes,provide address: 0 0 6.Hydroelectric Power Device
Address(number and street) 0 C) 7.Geothermal Energy Heating or Coaling Device
City,state,ZIP code,and county �r -1l'-1 o-4O 1_ 0oO, a!4-0O 7
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and bellef,.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
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