HomeMy WebLinkAboutHomestead_Mills H. PREPARER
t-- -
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address (number and street, city, state, country, and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears co y e document
Angela R. Wise
Address (number and street) Address (number and stre9t)
5428 S State Road 165 /1/Q// '4,6
City. State, and ZIP Code City, State, an4P Code Q�
Owensville, IN 47665 Q/&S <7,0
Country Country p4,
c
�-q
/:
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and bel , correct and complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentional) alsifles the value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
Si.-ature of SeUer r 9 > Signature of Seller
1.1, 1 C, L j 1 C.---L.) ...--
rinted N. e of Seller Date Signed mm/dd/yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy)
Angela R Wise October
', 2025 October 16, 2025
J. BUYER(S)/GRANTEE(S) — APPLICATIONlOR 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
Jarrod Mills
Address (number and street) Address (number and street)
5428 S State Road 165
City, State, and ZIP Code City, State, and ZIP Code
Owensville, IN 47665
Country Country
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's primary0/ TY El 3. Homestead
residence? f 2r 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ❑ Q` 5. Wind Power Device
❑ for this residence? If yes, provide address:
❑ r, 6. Hydroelectric Power Device
Address (number and street)) ❑ El' 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and County 2
b 04 - 46o -()U1 . 501 - 0Ll
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
'``
c,
4