Homestead_Hunt 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
Kathelyn Kinsall Munnier Bryan Munnier
Address number and street) Addr ss(number and street)
19 N 0101 i'-e rs ,+.v nCI I DLD N old Pe+erslou1j P-d
•
City,state,and ZIP Code /} City,state,and ZIP Code
P►%'tnc(?t v ij i ` 1LP7O - `P✓tn.c,6i [. 0
Country Country
US US
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 pro erty,or omits or falsifies any information required to be provided,commits a Level 5 felony.
ty S ler - Onature of el
Print a of Seller Date signed(mm/dd/yyyy) Printed er Date signed(mm/dd/yyyy)
Kathelyn Kinsall Munnier 04/28/2023 Bryan unnier 04/28/2023
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
Dakota P. Hunt Elizabeth Dawn Hunt
Address(number and street) Address(number and street)
157 East State Road 68 Apartment 307 157 East State Road 68 Apartment 307
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt, IN 47639 Haubstadt, IN 47639
Country Country
US US
1.Will this property be the buyer's primary ( O 0 3. Homestead
D D residence?
D O 4. Solar Energy Heating or Cooling System
42. Does the buyer have a homestead to be vacated D O 5.Wind Power Device
for this residence?If yes,provide address: D O 6. Hydroelectric Power Device
Address(number and street) D Q 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
cA,—L — IS—3c-0c70. 733— 601.(,
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
FILEi . 5-
roreman W L Title, LLC
MAY n 20'v 7412 Eagle Crestatson Blvdand
Evansville, IN 47715c.
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