Homestead_Meier (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Cody L Pruett Closer
Company E-mail address Telephone number
Regional Land Title Company Cody@Regional-LT.com (612 )402-4553
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Avenue, Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on co e document
Aaron C. Holland LED
Address(number and street) Address(number and street)
309 S 4TH AVE
City,state,and ZIP Code City,state,and ZIP Code MAR 2 3 2022
HAUBSTADT, IN 47639
Country Country 4Th , , a. .1
GIRSON COUNTY AUDITOR
E-mail address Telephone number E-mail address Telephone number
Ma.)Ats-(hSZ ( )
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.
Sig
ure of Seller� Signature of Seller
e.
rinted Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Aaron C. Holland 3/15/2022
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 conveyance document
Orion A. Meier Sierra D. Meier
P3. dress(number and street) Address(number a sttgeet)
_5D c WI""^ kvevtuz 3 p `1 5 1 14 vL
City,state,and ZIP Code City.state,and ZIP Code �� Y
1-(c�.uID5+adt i - I NIIA'1 tJ 3`1 l- sl,b 51-,J� 1 A'
Country Country
yi:t cd 3c vet e 5 U ri i 1-uJ S i-a 6v.s
E-mail address Telephone number E-mail address Telephone number
06OY\vv�ittf °1@gM ''t- (�6(Z) 1H tp -Du S:srra b,16 w`.:.. ' ' ('Th)2 c�G 17 z2
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.iocr J Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 1.Will this property be the buyer's primary 0 3. Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
0 ,2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence? If yes,provide address: 0 CI 6.Hydroelectric Power Device
Address(number and street) 0 C) 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
-ka- 31 -3o4-oao , o3-2-- - ooq
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 5 felony.(Note:Both spouse's
information,SSN/Driver's License/ID/Other Number Is necessary if a Homestead Deduction is being filed.)
Si re of Buyer i 1l5
._ Signature of Bu er 2/Spouse
Printe egal Na of Buyer 1 " Sign Date(MM/OD/YY) Printed Legal Name of Buyer Buyyeer2/Spouse Sign Date(MM/DO/YV)
Orion A. Meier a f IS / ZZ Sierra D. Meier 3 -t5- 2 z
Last 5 Digits of Buyer SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
' Co IS 9 -7 z ' 2.3
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