Homestead_Meier H. PREPARER
Preparer of the Sales Disclosure Form Title
Stacy Brown Settlement A.ent
Address(number and street,city.state.country.and ZIP Code)
2301 N.Burkhardt Road,Evansville,IN 47715
I.SELLER(S)IGRANTOR(S)
Seller 1—Name as it appears on conveyance document
Seller 2—Name as appears on conveyance document
Jacob A.Herald Stephanie J.Herald
Address fnumhP'and street) Address(number and street)
W i t 9p, Pim mQ.`tot,3> Pr-1 Le
City,state,and ZIP Code City.state.and Z`
• ivy lu,n I Country
Country
US US
i ( )
Under penalties of perjury,1 hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
required by law,and is p epared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real ,or omits fatsifi y information required to be provided,ncommits al Level 5 felonylrzi ��
Signature f Seller 'gi-
- Printed Na e of Sella Date signed(mmtdd/yyyy)
Print Name of Seller Date signed(mm/dd/yyyy)
Jacob A.Herald
07/22/2022 Stephanie J.Herald , 07/22/2022
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
Christina Address Meier Address(number and street) F i L L.�
Address(number and street) l L
508 E.Elm St.
City.state.and ZIP Code I City.state.and ZIP Code JUL 2 5 2�22
Haubstadt,IN 47639
Country
Co Country e ,q
US /,7,/���( LYvd @vno i
pply YES NO
certain CONDITION Identify all of those that apply:
YES NO CONDITION .�
"I_Will this property be the buyer's primary
0 Homestead
residence? 0 l 4_Solar Energy Heating or Cooling System
1 0 5) 5.Wind Power Device
2.Does the buyer have a homestead to be vacated
O for this residence?If yes.provide address: p a 6-Hydroelectric Power Device
i Address(number and street) G 0� 7.Geothermal Energy Heating or Coolingl Device
City,state.ZIP code,and county 1 ^'6-tci -t 2 3o 1 -0 00 _ Z Z3 -0 2-b
Under penalties of perjury.I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
5 `