Homestead_Allen H. PREPARER
Preparer of the Sales Disclosure Form Title
Jerry D. Stilwell
Company
Address (number and street, city, state, country, and ZIP Code)
302 N . Prince Street
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Jeffery A. Sevier Rhonda S. Sevier
Address (number and street) Address (number and street)
4682 S 875 E 4682 S 875 E _ '
........
City, state, and ZIP Code City, state, and ZIP Code 11.
Oakland City, IN 47660 Oakland City, IN 47660 Country Country DEC 2 2 202
0
USA USA
E-mail address
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is t1Yecet
fUN ,a e as
required by law, and is prepared in accord. •ce with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the v f eipsferred
real pro y, or its or falsifies any inf• ation required to be provided, commits a Level 5 felony.
Signat of Sel // / Signat f Seller
s f
Print a Selle Date sign-. (mm/dd/yyyy) Pnnted Name of eller `" Date signed (mm/dd/yyyy)
Je ery . Sevi r 12/27- /2025 Rhonda S. Sevier 12/27 /2025
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR 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
Theron Allen j Samantha Allen
Address (number and street) Address (number and street)
4063 S 900 E 4063 S 900 E
City, state, and ZIP Code City, state, and ZIP Code
Oakland City, IN 47660 Oakland City, In 47660
Country Country
USA
YES NO CONDITION YES NO CONtil
1CI 0 . Will this property be the buyer's primary O O residence? O Q 4. S g ea g oli y
O 2. Does the buyer have a homestead to be vacated 0 O 5. Wind Power Device
for this residence? If yes, provide address: O O 6. Hydroelectric Power Device
Address (number and street) 0 Q 7. Geothermal Energy Heating or Cooling Device
City, state, ZIP code, and county
-;"e -- /id - ti --300-ar ()6q- 6) 0(.,