Homestead_Plunkett (3) H. PREPARER
Preparer of the Sales Disclosure Form 1 Title
Amy B.Pollard i Settlement Agent
: Company ;
Address(number and stree(,city.stale.country,and ZIP Cade)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S)
i Seller 1-Name as it appears on conveyance document ' See/72-Name as a pears on conveyance document
G&auxtja,K Properties,LLC (6 c+ V— (7,1 e-i r 1--z
Address(am mber aid street)A _ i . Address trulmbe r and sire t) r,
— . .rIng . i uuti A- riri 4E3 -1- Cour+
City state,and ZIP Code City.7 ale.and ZTP Cnde
— IllCLOE5AA.t‘e t I .) 4-11 16 .._.
/ I
• Gountri Country
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.
--1-
SigiA)e of Seller 1 Signal ir of Seller
Ac LN)
Printed Name of t. ar Date signed(rnmIticilyyyy) i. Printed Name of Seller l Date signed(mrniddlyyyy)
Grant Alvey Waldroup,Member 03/01/2023 ..j Y(iktt-€,__ V-an/Dar 1
; 03/01/2023
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
Desiree V.Plunkett
Address(number and street) Address(number and street)
9846 S Watertown Dr
-1)City.state,and ZIP Code City,slate.and ZIP Code
; Haubstadt,IN 47639
Country Country MAR 0 6 20
,,
Identill'altriftec*at apply:
.:::, ,,,. "77,',,•/" • —
' YES NO CONDITION ...yE NO CONDITION
• 1.Will this property be lhe.s. buyer's primary ' 0 3. Homestead
A n residence? 0 1.)-( 4.Solar Energy Heating or Cooling System
• 2. Does the buyer have a homestead to be vacated 0 a 5. Wind Power Device
0 '1 for this residence? If yes. provide address: 0 a 6. Hydroelectric Power Device
Address(number and street) 0 rg 7. Geothermal Energy Heating or Cooling Device
City.slate.ZIP code,and county ac-A s-i --402--00 . iFoLo -02_c
•
Lasi 5 Digits of Buyer 2.'Spouse SSN/Driver's LicenselID/Other Number 1
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