Homestead_Kennedy Jr 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. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2 — Name as appears on conveyance document
Deon Hardiman Sequoia Hardiman
Address (number and street) Address (numberand street)
1218 McKinley Street 1218 McKinley Street
Crty, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Courtry
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.
Signature of Seller Sjenaturu of Seiler
"gc",
Printed Named Seller Date Vd
Signed (mndJyyyy) PrintedfNarne of Seller Date Signed (mrn/dd/yyyy)
//
Deon Hardiman /( — ( —25 Sequoia Hardiman t - I (•:I
J. BUYER(S)JGRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - ID ALL THAT APPLY
Buyer 1 — Name as it appears on conveyance document I Buyer 2 — Name as it appea on a document
Bruce Wayne Kennedy, Jr,
Address (number and street) Address (number and street)
213 E Louisiana St / ok
City, State, and ZIP Code City, State, and ZlZ Code ,0
Evansville, IN 47711
Country Country SU�� e_re•
US O _
Email Address '
4 J4 • (
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify a those that apply:
YES NO CONDITION YES NO CONDITION rt
® 1. Will this property be the buyer's primary ( 0 3. Homestead
residence? 0 ® 4. Solar EnergyHeatingor Cooling S' s
2. Does the buyer have a homestead to be vacated 0 Cg 5. Wind Power Device
for this residence? If yes, provide address: O cia 6. Hydroelectric Power Device
Address (number and street) Q (I 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
V2- - IS - 10
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