Homestead_Rish 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, Evansv':Ile, IN 47708 _ _ • • .
I. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document �� Seller 2 — Name as appears on conve ance document
Joshua J. Dilbeck Amber D. Dilbeck
Address (number and street) Address (number and street)
. ?.
9512 W. 400 S. 9512 W. 400 S.
City, State, and ZIP Code City, State, and ZIP Code
Owensville, IN 47665 - Owensville, IN 47665 %/AA/
Country Country ``t*f go'
US US .- . ?0�6
(i and complete as
Under penalties of perjury, ! hereby certify this Sales Disclosure, to the best of my knowledge and belle , Ir�et,
required by law, and Is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally faliteetitte value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. rJ//
Signature of Seller Signature of Seller '
Printed Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mrn/dd/yyyy)
Joshua J. Dilbeck Amber D. Dilbeck
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
Andrew Matthias Rish Address (number and street) Address (number and street)
714 Chestnut Street _ — -
City, State, and ZIP Code City, State, and ZIP Code
Mount Carmel, IL 62863 _ —Country Country
US
apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary (X 0 3. Homestead® residence? 0 (3 4. Solar Energy Heating or Cooling System
0 0
2. Does the buyer have a homestead to be vacated ^ 0 ( 5. Wind Power Device �' " , '.'`
• for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
7. Geothermal EnergyHeatingor Cooling Device '
Address (number and street) 0 ®
City, State, and ZIP Code County ' ,�U 1
� 20 — V 02 •6 1__
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
3