Homestead_Wright (2) H. PREPARER
Preparer of the Sales Disclosure Form Title '
Milton Norman Settlement Agent
Company -
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Address (number and street, city, state, country, and ZIP Code)
25 NW Riverside Dnve, Suite 310, Evansville, IN 47708
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 -Name as appears on conveyance document
Michael R. Parker Teresa Jane Parker '
Address (number and street) Address (number and street)
1271 E SR 68 1271 E SR 68
City, State, and ZIP Code City, State, and ZIP Code
Haubstadt, IN 47639 I Haubstadt, IN 47639
Country Country
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, Information required to be provided, commits a Level 5 felony.
Signature of Sellev'- r' y-% SignUr of Seller rCI /`,
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Printed dame of Seller Date Signed (mrrydd/yyyy) Pnnted Name of Seller,/ Date Signed (Tm/dd/yyyy)
/.i / `'1;; el- Teresa Jane Parker ,i ram./ 3/ �/ -7,fir -5
Michael R. Parker 1 ,�.� ` tr a c- j, •
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS -ID ALL THAT APPLY
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Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appea ce document
i
Kari J. Wright i
Address (number and street) Address (number and street)
933 S Seminary Street
City, State, and ZIP Code City, State, and ZIP Code 06
' 1t b�uhstadt,-lN-47s32. 1-7.-In c.t pn ;rN `z i 6 r?+,� 2o��j'
Country Country G/eSp
US N
Email Address
apply for certain deductions. Identify all o�ose that apply:
PP y:
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary (3i) 0 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 it 5. Wind Power Device '
for this residence? tf yes, provide address:
0 (5D 6. Hydroelectric Power Device
Address (number and street) i 0 ® 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code Count ZOO--
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, Is true, correct, and complete
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