Homestead_Selby (2) ^�_�-� -__ __-...•_sue_H. PREPARER
'Preparer of the Sales Disclosure Form Title
Milton Norman
Address (number and street, city, state, country, and ZIP Code)
25 NW Riverside Drive, Suite 310, Evansville, IN 47708
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Calin A. Dyer
Address (number and street) Address (number and street)
453 N Spore Drive �` ___ I
City, State, and ZIP Code City, State, and ZIP Code '''444
Princeton, IN 47670 1
r
Country Country
US ,/
Email Address Telephone Number Email Address ( Telep •,. 'Cr.
( ) ,----"-~ /61 ( )
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowle lief, is true, ct, and complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly an fit ' nally falsifies the value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felo`t 9
Signature of Seller Signature of Seller
Printed Name of Seller Date Signed (mm/ddlyyyy) Printed Name of Seller ate Signed (mm/dd/yyyy)
Calin A. Dyer
J. BUYER(S)IGRANTEE(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
1 Kevin Selby Margaret E. Selby -
Address (number and street) Address (number and street)
3425 Covert Ave 3425 Covert Ave
City, State, and ZIP Code City, State, and ZIP Code
Evansville, IN 47714 Evansville, IN 47714
Country Country
US US
, YES NO CONDITION YES NO CONDITION
01. Will this property be the buyer's primary IX 3. Homestead
residence? 0 11 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated C) (X) 5. Wind Power Device
0 25 for this residence? If yes, provide address: a ® 6. Hydroelectric Power Device
Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
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