Homestead_Brandenstein H. PREPARER
Preparer of the Sales Disclosure Form Title
Micah Scott Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd. Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Brandon L. Kidd
Address(number and street) Address(number and street)
S4nn 5 . 9'15w -
City,state,and ZIP Code City,state,and ZIP Code
0. v t (...Le T/‘""- `I 9 V!.S 9 VCR
Country ` , Country t% '
E-mail address ,f //
best of my knowledge and belief,Isarcorrect and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally fa& 1i value of transferred
real property,or omits or falsifies any Info�ati nnrrequir to be provided,commits a Level 5 felony. 1
;4ria.t /' /� ,�/ ar"��i!%' Signature of Seller Di).
��i!irr�s�/ OL/ O�
me of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signe mm/dd/yyyy)
ndon L. Kidd 08/11/2022
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
Jacob Daniel Brandenstein Katlyn Kay McCoy
Address(number and street) Address(number and street)
4625 Kleitz Road 4625 Kleitz Road
City,state,and ZIP Code City,state,and ZIP Code
Evansville Indiana 47720 Evansville Indiana 47720
Country Country
US US
E-mail address /I ,
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
O :iiffre aence? 0 O 4.Solar Energy Heating or Cooling System
Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
0 for this residence? If yes,provide address: 0 C) 6.Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state.ZIP code,and county -/6- /Q_0 6_302_0 00- . Zs _,02'Z.
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
Page 3 of 5
..z � ..
e k7 '�