Homestead_Krieg (9) H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number andv etreet city,state,country,and ZIP Code) FILE
4905 Theater Drive, Evansville, iN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance docume t m
Jason J.Watt Summer A.Watt JAN 2023
Address(number and street) Address(number and street) \v
1345 West Wheatland Court 1345 West Wheatland Court /� /��`[
City,state,and ZIP Code City,state,and ZIP Cod //LcrfttLGc c tom. J/VuevreGi
Haubstadt, IN 47639 Haubstadt, IN 47639
Country GISSON COUNTY AUDITOR
USSAA Country USA
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
re roperty,or omits fat es any information required to be provided,commits a Level 5 felony.
S' n lure of S I r Sig attire of Seller
C Da signed mm/dd/YYYY)
ante ame f Ile Date signed(mm/dWyyyy) Printed Name of Seller ate, igned(
J son .Watt S-1(p -a Summer A.Watt I y�N 1-'-'
J. UYER(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 Robert D. Krieg Kara Shannon Krieg _
Address(number and street) Address(number and street)
317 Hawthorne Drive 317 Hawthorne Drive
City,state,and ZiP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
CounCountry
USSAA try USA
1.Will this property be the buyer's primary
0 3.Homestead
El 0
residence? 0 ID 4.Solar Energy Heating or Cooling System
r,C, 2. Does the buyer have a homestead to be vacated 0 0
5.Wind Power Device
�J ❑ for this residence?If yes,provide address: 0 0 6.Hydroelectric Power Device
Address(number and street) ❑ OX 7.Geothermal Energy Heating or Cooling Device
F1z r op, 0,- ( a- - rJ --
State,ZIP code,and county a(Q)'-12--06 l�Q L-0 0 Li • C. 0 2S
Under penalties of penury,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
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