Homestead_Hart (3) H. PREPARER
Preparer of the S les Disclosure Form Title I
ta(1ra ' V'e4 7 Title Company
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201, Evansville, IN 47715 FILED ,
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on cgrtypy n document
Richard Graceffa Nikki K.Graceffa ��VV
Address(number and street) Address(number and street)
600 Tretter Park Drive 600 Tretter Park Drive •
�C
City,State,and ZIP Code City,State,and ZIP C
Fort Branch,IN 47648 Fort Branch,IN 47648�BSON COUNTyAUDi1OR
Country Country
US US
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Si natur of SelleyJ / Si natur f St
Printed Name of Seller /f Date Signed(mm/dd/yyyy) Printed Name of SettLr Date Signed(mm/dd/yyyy)
9 9 ( YYri)
Richard Graceffa 07/21/2023 Nikki K.Graceffa 07/21/2023
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
Nicholas Hart Christina Hart
Address(number and street) Address(number and street)
405 6th Ave 405 6th Ave
' City,State,and ZIP Code City,State,and ZIP Code
Haubstadt,IN 47639 Haubstadt,IN 47639
. Country Country
US US
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to pply for certain deductions.Identify all of those that apply:
' YES NO CONDITION NO CONDITION
A1.Will this property be the buyer's primary 0 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated O ® 5.Wind Power Device
for this residence? If yes, provide address: p ® 6. Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
6-1`(- ( g -31- 000 .2h5--02c
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
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