Homestead_Williams (52) H. PREPARER I
Preparer of the Sales Disclosure Form _ T Title -
Stacey Salzman Settlement Agent
Company
Address (number and street, city, state, country, and ZIP Code)
2301 N. Burkhardt Road, 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
Michael W. Stilwell Elizabeth A. Stilwell
Address (number and street) Address (number and street)
1622 Birchwood Dr. 1622 Birchwood Dr.
''''I 'l
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
4.
Country Country
US j US -40 .
Email Address
myknowledge and belief, i c rrgA-t, and complete as
required by law, and is prepared in accordance with IC -1.1-5.5.A person who knowingly and intentionally i value of transferred
real property, or omits o Isifiea y info rrre red to be provided, commits a Level 5 felony. 17 . _
t Se' r Signal eller /?G
Printed Name of eller Date Signed (mmlddiyyyy) n ed N me of Seller - Date Signed (mm/ddlyyyy)
t Michael W. Stilwell 01/21/2026 Elizabeth A. Stilwell 01/21/2026
h J. BUYERS)/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 i
Chet D. Williams
Address (number and street) Address (number and street)
4611 Lenn Road -
City, State, and ZIP Code City, State, and ZIP Code
Newburgh, IN 47630
Country Country
US
( )
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to 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) 17 3. Homestead
® O residence? 0 Q 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 X 5. Wind Power Device
CI ® for this residence? If yes, provide address:
0 EX 6. Hydroei ectric Power Device
Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City. State, and ZIP Code County () b - 12 - 0G - 90 2 - 00Lt . 32$ - 028
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 ?
1 ( k