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HomeMy WebLinkAboutHomestead_Adams (12) H. PREPARER Preparer of the Sales Disclosure Form Title Katie Felty Escrow Officer Company Address (number and street, city, 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 Bret William Deckard Vicki Lynn Deckard Address (number and street) Addr ss (number and ire f -5`i0S vld `/ I l) . 1,9 jj __ City, state, and ZIP Code r 7 City, state, and ZIP Code /19 CEr22 e-t .--Midmil24 Yiq S ,--Wc,Q., Country Country US US Under penalties of perjury, I hereby certify this Sates 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 6-1.1-6.6. 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. Sign tune of Seller . Sign to of Se r / Cc) ,1 Lad -- , /-4 : Printed Name of Seller Date s signed mm/d Printed Name o Seller gate '.l •.-d ) i9 f �YYYY) - Bret William Deckard 3/27/26 Vicki Lynn Deckard a 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 convert' ge t attain t26 Willliam Edward Adams Keith Scott Howard Ht" R u u LULU Address (number and street) Address (number and street) 2150 Fosters Way, Apartment 3 2150 Fosters Way, Apartm 3 . City, state and ZIP Code City, state, and ZIP Code / t,e �. . "(' z`�) tY Princeton IN 47670 Princeton IN 47670 GIBSON COUNTY AUDITOR Country Country US US YES NO CONDITION YES NO CONDITION ❑ 1. Will this property be the buyer's primary O 0 3. Homestead residence? 0 0 4. Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated 0 O 5. Wind Power Device !. 1" `1E7 ❑ for this residence? Ifyes, provide address: t O O 6, Hydroelectric Power Device Address (number an91 street 0 0 7. Geothermal Energy Heating or Cooling Device t-(0‘ jki :i S.C-tle, Dr - CI state, ZIP cafe, and car ty �a ' Z , - 1 I _ 2 00 - C3 Q Q ("�'^G -02'� n ear of perjury, I hereby certifythat this Sales Disclosure, to the best of my knowledge and belief, is true, correct and Complete Under penaltiesP � rY� !+ 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 6 felony. (N . oth spouse's,.. • Page 3 of 6