Homestead_Stayte H. PREPARER
I Preparer of the Sales Disclosure Form Title
Tim Shea m.Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,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
Matthew Mullen Kate Mullen
Address(number and street) Address(number and street)
2393 E John Ford Road 2393 E John Ford Road _
City,state.and ZIP Code City.state,and ZIP Code
Hazleton,IN 47640 Hazleton,IN 47640
i Country Country
( ) ( )
Under penalties of perjury.I hereby certify 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 5 felony.
Signature of Seller / n Signature of eller�Jy�'
PrintedF/amee of Seller Date signed(mm/dd/yyyy) Printed Name of elleer Date signed(mm/dd/yyyyj
Matthew Mullen 03/04/2022 Kate Mullen ilf04/
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY I+TJ1/42RYD
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears an conveyance document
Brian Stayte Amy Stayte MAR 1 0 2022
Address(number and street) Address(number and street)
1069 N Centerline Road 1069 N Centerline Road
City,state.and ZIP Code City-state,and ZIP Code
Franklin,IN 46131 Franklin, IN 46131 GIBSON COUNTY AUDITOR
Country Country
i US US
I
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 /sj
0 0 3. Homestead
1J residence? p (Xi 4.Solar Energy Heating or Cooling System
I 0 2. Does the buyer have a homestead to be vacated CD Ki)
5.Wind Power Device
for this residence? If yes,provide address: 0 13? 6. Hydroelectric Power Device
Address(number and street) 0 C& 7.Geothermal Energy Heating or Cooling Device
City.state.ZIP code,and county
ir-O -53-0Ao --oo3 . 1-2 i -o0 .
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
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