HomeMy WebLinkAboutHomestead_Munnier 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)IGRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Jacob M. Stieneker Hannah E. Stieneker
Address(number and street) Address(number and street)
1'53 S- C(;c,L(rl-to lac! ' oo E —I 553 go) CI Utz
City,state,and ZIP Code City,state,and ZIP Code
Velper 4-i510 \). 1 III L-159D
Country Country
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Si e of S Iler Signature of Seller
Pri ed Name f S er Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Jacob M. Stieneker 05/08/2023 Hannah E. Stieneker 05/08/2023
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
Kathelyn Kinsall Munnier Bryan J. Munnier-
Address(number and street) Address(number and street)
606 East Ulen Street 606 East Ulen Street
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
US US
• YES NO CONDITION YES NO CONDITION
C O O 1.Will this property be the buyer's primary D D 3. Homestead
residence? O Q 4.Solar Energy Heating or Cooling System
Jv O 2. 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
.z:t.Address(number and street) O p 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
o fti- (arfrtritiq i IN ti1Lo' �S ag- O5---�1-400_00l .125
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
information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being tiled.)
Page 3or5 ^orerrlan Watson Land Title, LLC
MAY 1 1 202.
E 7412Eagle Crest Blvd
. '� Evansville, IN 47715