Homestead_Teddleton H. PREPARER
Preparer of the Sales Disclosure Form 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. SELLER(S)1GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Nicole Lary Kolby Lary
Address(number and street) Address(number and street)
705 W School St 705 W School St
City,State,and ZIP Code City,State,and ZIP Code
Francisco,IN 47649 Francisco,IN 47649
Country Country
US US
Email Address
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 or falsifies any information required to be provided,commits a Level 5 felony.
Sig ture Seller Sign u e of ler '
Printed Name of liar Datt S Signed(mmldd/yyyy) Printed Name o Seller Date Signed(mm/dd/yyyy)
Nicole Lary 0G7 f I V I Z v25 Kolby Lary g a"2s
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 1
Andrew R.Teddleton
Address(number and street) Address(number and street) _pi .
5300 Oakwood Drive
City,State,and ZIP Code City,State,and ZIP Code
Newburgh,IN 47630 EID
Country Country AUG O
CS ,o
apply for certain deduct? 'N- i ll, tos'e that apply: ;
YES NO CONDITION ES NO 3.HomeON stead V ry�AVDI?,Z
® 1.Will this property be the buyer's primary
residence? 0 ® 4.Solar Energy Heating or Cooling System
O 2.Does the buyer have a homestead to be vacated O ® 5.Wind Power Device
for this residence? If yes,provide address: 0 ® 6.Hydroelectric Power Device
Address(nu ber and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County oi-6-13 - 1 a - i--Q 0 0. 3 r (A - co ,�
Under penalties of perjury,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