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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
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I. SELLER(S)/GRANTOR($)
Seller 1 -Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Brooke N. Johnson Joshua E. Johnson
Address (number and street) Address (number and street)
708 E Park St 708 E Park St
City, State, and ZIP Code City, State, and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
US US
Email Address
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
Sgalire of Sel r Sig t re of SeII
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Printed Name of r Date Signed (mmidd/yyyy) Pri ed Name o Seller I Date Signed (mrn/dd/yyyy)
Brooke N. Johnson =� Joshua E. Johnson ,/ ,.1 ----
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL LHAT APPLY
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conveya ment
Pablo Gallardo Gabriela Rod( uez Gallardo
Address (number and street) Address (number and street)
509 Bittner St ! 509 Bittner St n_
<&
City, State, and ZIP Code City, State, and ZIP Code C ..)
Owensvllle, IN 47665
apply for certain deductions. Identify all r - that apply:
YES NO CONDITION YES NO CONDITION
1 . Will this property be the buyer's primary ® O 3. Homestead
.X(_)
residence? \
0 X 4. Solar Energy Heating or Cooling System
0 2. Does the buyer have a homestead to be vacated 0 EX 5. Wind Power Device
for this residence? If yes, provide address: 0 X 6. Hydroelectric Power Device
i
Address (number and street) 0 X 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County )� q
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 kn• ingly and intentionally falsifies the value of
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