Homestead_Little (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Amanda Daly Settlement Agent_____-___�_ __.._
Company
Address(number and street.city,state.country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201.Evansville,IN 47715
I. SELLERS)/GRANTOR(S} -----
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Household Thoughts.LLC
1 Address(number and street) Address(number and street)
2324 N Old USd ZIPHwyC 1 FILED
City,state.and ZIP Code City.state.and ZIP Code
Princeton,IN 47670
Country Country J U N 2 9 2022
US
E-mail address
mod.
(�t� COUNT Pu ITOR
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge ags Tic-f,rs 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 Signature of Seller
L
Printed Name of Seller Date signed(mm/dd/yyyyJ Printed Name of Seller Date signed(mm/dd/yyyy)
Brian S.Ellis,Member 06/28/2022 06/28/2022
J. BUYER(S}/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
I Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Ronald P.Little Donna Little
Address(number and street) Address(number and street)
510 S Stout Street 510 S Stout Street
f City,state.and ZIP Code City,slate.and ZIP Code
I Princeton,IN 47670 Princeton,IN 47670
Country Country
# US US
_____
Pursuant to IC 6-1.1-12-44,the Sates Disclosure Form may be used to ape /for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION10
I O 1.Will this property be the buyer's primary ?S) 0 3.Homestead
residence'? ($ 4.Solar Energy Heating or Cooling System
Q 2.Does the buyer have a homestead to be vacated 0 a 5.Wind Power Device
O (Pcrl for this residence?If yes,provide address: 0 a 6.Hydroelectric Power Device
I Address(number and street) 0 (N 7.Geothermal Energy Heating or Cooling Device
City.state.ZIP code,and county
C -(C.36-\co-0(A -yj-u -02-4
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