Homestead_Jude H. PREPARER
Preparer of the Sales Disclosure Form Title
Katie Felty Escrow Officer
Company
Address (number and street, cay, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Cameron M. Moline Christy M. Wasson
Address (number erd street) Address (number eV street)
`1 c D __, Eci %
Le- .
City, ecaZIPG ` �� DCi tea Code
1 \\ . 0 li \ ( 1- 4uTh
Country Country
' US US
, Under penalties of penury, I hereby certify this Sales Disclosure, to the best of my krfowtedge ana perm, is true, correct and complete as
required by law, and Is prepared In accordance with IC 6-1.1-6.6. A person who knowingly and Intentionally falsifies the value of transferred
real property, or omits or falsifies any Information required to be provided, commits a Level 5 felony.
Signature of Seller afore f Selto4 1,600
Printed Name of Seller Da a signed (mm/ddhryyy) Printed Na of Seller Date signed mmlddlyyyy)
Cameron M. Moline 1 1ii 'aa Christy M. Wasson T1131, 1 t t,1J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENT A • • •
Buyer 1 - Name as it appears on conveyance document Buyer 2- Name as it appears on conveyance document
Derrick Jude Brittany Jude JAN 2028
Address (number nd street Address ( ber and street)
ch s ern f1-ma411 nruL.
City, style, and ZIP Code r___ City, state, and ZIP Code
V`A \ (00 J)f) q"13-9\_t , (7-)2e a. Ji(r-,t66414)
Country Country GIBSON COUNTY AUDITOR
Us_ _ _ Us
-----------
YES NO CONDITION YES NO CONDITION
1. Wil this property be the buyer's primary D 0 3. homestead
G residence? 0 CI 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 (J 6. Wind Power Device
for this residence? Ir yes, provide address. 0 C) 6. Hydroelectric Power Device
Address (number and street) 0 C) 7, Geothermal Energy Heating or Cooling Device
CYO F `)\- C,10 . "\1& , S .
c. , state, ZIP code, and county
\1\t3. Lt : - -05 --30 -- 101 -001 . 202
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
transferred real property, or omits or falsifies any information required to be provided, commits a Level 6 felony. (Note: Both spouse's
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