Homestead_Vinnedge H. PREPARER
Preparer of the Sales Disclosure Form I Title
Amy B.Pollard Il Settlement Agents
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 FILED
Address(number and street) Address(number and street)
8463 S 550 W
City,slate,and ZIP Code City,state,and ZIP Code OCT 2 0 2022 Cc....";:>)Owensville,IN 47665
Country Country t
US ///u. a. jt vna)
E-mail address
( )
Under penaltiesof 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 Signature of Seller
Printed Name of Seller Date signed(mm/ddlyyyy) Printed Name of Seller Date signed(mmldd/yyyy)
Brian S.Ellis,Member 10/15/2022 , 10/15/2022
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
Cory Vinnedge Cecilia Vinnedge
Address(number and street) Address(number and street)
8463 S.550 W 8463 S.550 W
City,state.and ZIP Code City,state,and ZIP Code
Owensville,IN 47665 Owensville,IN 47665
Country Country
US US
c,
to appl ffor certain deductions_Identify all of those that apply:
t-I-- YES NO CONDITION YES NO CONDITION
M CiCi1. Will this property be the buyer's primary 0 3. Homestead
® residence? 0 Cg. 4.Solar Energy Heating or Cooling System
O
2. Does the buyer have a homestead to be vacated 0
Q 5.Wind Power Device
Q O for this residence?If yes,provide address: p 56 6. Hydroelectric Power Device
g (number'ddgss ` Q _ [ �p
ande street) 0 ($ 7.Geothermal Energy Heating or Cooling Device
c� slate ZIP code.apd countycal UCU) b, 11\ dEj Q /' I g --7^KJ-3 ou--OOO. ±) -_ D 2S-
Under penalties of perjury,t 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
k. transferred real property,or omits or falsifies any information required to be provided,corn is a Level 5 felony.(Note:Both spouse's
Information,SSN/Driver's License/ID/Other Number is necessary if a Homestead 0 du on ing filed.)
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