Homestead_Mason (10) H. PREPARER . •
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S). .
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Shawn Michael Edwards Elmber-Steelp......
Address(number and street) Address(number and street)
City,state,and ZIP Cod City,state,and ZIP Code
(1/11Add OAVVItit r I L_ 6 c) %,,.3 S-Q1-4
-l?
Country Country
US US
E-mail
/trier of . Iler Vlnature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Shawn Michael Edwards 02/17/2023 Amber Steele 02/17/2023
. -,...
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTI rAiligAT • 'PLY .
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyan .444,cur ;1 Y
Jordan M. Mason Miranda K. Mason
Address(number and street)
Address(number and street) ',1161 9 7
14705 Sawmill Drive 14705 Sawmill Drive '1
62,y
City,state,and ZIP Code City,state,and ZIP Co&61,9,,
Little Elm,TX 75068 Little Elm,TX 75068 ""Ncs ?
Oth,:,,,--.Z.-/-, '
Country Country
'
CI 0 residence? I) 4.Solar Energy Heating or Cooling System
.,4 0 je.., 2. Does the buyer have a homestead to be vacated 0 C) 5.Wind Power Device
for this residence? If yes,provide address: 0 2 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county L2—C) - t —-2—C3C, `3 Ci-r)-a-7
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete '
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