HomeMy WebLinkAboutHomestead_Wilkerson (22) N. PREPARER —-- — -- —
Preparer of the Sales Disclosure Form
I Kris Coon Title
_, _ Closing Agent
Company
Address (nunrher end street, city, state, Country, and ZIP Code) (�
4600 Washington Ave., Suite 102, Evansville, IN 47714
I. SELLER(S)1GRANTOR(S)
Seller I -Name as it appears on conveyance document Seiler 2 -Name as appears on ce document
Jessie K. Peyton Austin Peyton 1
-Addr;ssI number rdt sr eel Address (number end street) -v - —
,);;1 L My0 S
(-City.
*Y1-
ityys
late ncf ZIP Coe City, state, and ZIP Code (
k ( 1 nCAn_ } .U 1 el8 J o
CountryCountry —
USA use �0
and Is prepared in accordance with IC 6-1.1.6.5. A person who knowingly and Inton • , ' lea the value of transferred
(
real property, or omits or falsifies any information required to be provided,commits a Level S felony. O -
;iat re . ell u Signature of Seller
i. L4Z91/()
Prbi a time of Seller -.Date signed (mmlddryyyy) Printed Name of Seller Date signed(nmtkkilyyyy)
Jessie K. Peyton C 2') CI- 15-45 Austin Peyton
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL THAT APPLY
Buyer t -Name as II appears on conveyance document 1 Buyer 2-Name as It appears on conveyance document
Javon M. Wilkerson
Address (number and street) Address (number and street) -`
328 M Gibson Street
City, state, and ZIP Code _ — City, state, and ZIP Code
Princeton, IN 47670
Country Country
USA USA
YES NO CONDITION
1. VAII this property be the buyer's primary O 0 3. Homestead
residence? --_ 0 O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 C) 5. Wind Power Device
for this residence? If yes, provide address: O O 6. Hydroeiectric Power Device
Address (number and street) ^ - 0 1 7. Geothermal Energy Heating or Cooling Device
City,state.ZIP code, and county - — - At - 1 / - 67 - 7,03 - O
002
Page 3 of 5