Homestead_Wilson (12) 1. H. PREPARER �` �- �'�"'�....r" -
._...�..•-•....._.w.�--- •-.----- ....�
_---_ _.."�`_`_"..�..'-•-�-�------ � Title I
Preparer of the Sates Disclosure Form
Leah Eraw.vn _ : Sotstement Acertt _--
--.._ --- - — t
Address (number and street. city, state, country, and ZIP Code) I
7820 E agie Crest Blvd. Suite 201. Evansville, IN 47715 ---• - '�-"�" ''-"'r"
I. SELLER(S}IGRA►NTCIR(S)
^�--�Seiler 1 -Name as it appears on conveyance document Seller 2 -Name as appears on conveyance document
I
Judith M. Larson
Address (nurrtber and street)1.
i Address (number and street) '
IJ839NSR65 __ - - - -
City, State. and ZIP Code
City. State, and ZIP Code _I
Princeton, IN 47670 _ - -
Country Country I
US --- a ne Number I'
Email Address
best of my knowledge and belief, Is true, e
required by law, and is prepared in accordance with IC 6-1.1.5.5. A person who knowingly and Intentionally falsifies the _lu• o, • - -tired
tea operty or omits or fat ties any Information required to be provided. commits a Level 5 felony. 1� __ _
.gt►ature o rir• j,' } ; Signature of Seiler r
,. )
i:leo
�.� .. - -
-
'nnle xi Ike i r ate SCre {nr't°d_lyyY'!) Pr+rtted .�:arne of Savo t Date d{mmliQlyYYY1 1
BS I 11/26/2025
Judith M. Larson 1 •/26/2025 _ - - S /2025
J. Y R S /GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDEN ` -b .i.. T APPLY :
- -"- Buyer 2-Name as it appears on conveys
Buyer 1 -Name as it appears on conveyance document /7- ' ___.--4_Jjseph Atark Wilson _ Brianne Wik�OT R -
Address (number and street) Address(number and street)
2160 W 1300 S _ I 2160 W 1300 S __ _ #
1 City, State, and ZIP Code - City, State, and ZIP Code -
i Haubstadt, IN 47639 Haubstadt, IN 47639 ----Il
Country Country
US _ US ---
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary
® 0 3. Homestead
® O residence? 0 fff1 4. Solar Energy Heating or Cocling System
2. Does the buyer have a homestead to be vacated Q ® 5_ Wind Power Device
O IX `cr this residence? If yes, provide address: 0 t� 6. Hydroelectric Power Device
Address (number and street) U 7. Geotherrral Energy Heating or Cooiing Device
Q
County 2-GC9C-- 1 -- L100 -001. ) C l "0Z9-` -
l City, State and IIP Code -
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 6.1.1-5.6 A person who knowingly and intentionally falsifies the value of
trans erred real property, or omits or falsifies any Information required to be provided, commits a Level 5 felony. (Note. Both spouse's
Information, SSN/Driver's Llcense/lD/Other Number Is necessary only If a Homestead Deduction is being Med.) - -
�'
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