Homestead_Hall H. PREPARER
Preparer of the Sales Disclosure Form i Title •
amie maslanka , Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
5231 Oak Grove Road,Suite A,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on cony ce document
Elijah Kramer � ;7 !c- _ /v�Cx
�•.t��'�aP 1
Address(number and street)
2a,,_5 4Gr•kr,,- / t'- I Address(number and street) 2 St, W `•0D D JC
C›,state,and ZIP Code
t( LE-7
LL 1 Cit state.and ZIP Code //,y�1,. C.a��h fA� �( 1-.r(3?
t4`rnSV.'l �n � r}'� y' l� r`�J ``1`e/ i,iN C/ t
Country Country f
United States of America _United States of America
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.
• atur.of Seller I Signat a of Sell�Qr/ /
iti
Printed le of Seller Da a sign mm/d/dd/ ) Printed Name of Setter ! Date signed(mm/dd/yyyy)
Elijah Kramer �' '.Yj --7-,[k ta,1l.s I C e/r�lyi e( • 91r. R_3
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 appears on conveyance document
Donovan Hall Mariah Hall
Address(number and street) Address(number and street)
, 301 North Race Street 301 North Race Street i
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt,IN 47639 Haubstadt,IN 47639
Country Country
United States of America United States of America
YES CONDITION YES 0 CONDITION
0 1.Will this pr
ib
❑ 0 a the buyers primary residence?
0 3. Homestead
0 0 4.Solar Energy Heating or Cooling System
2. Does the buye a h s to be vacated for 0 0 5.Wind Power Device
this residence? If yes, p , •!�- -:
0 0 6.Hydroelectric Power Device
Address(number and street) JO/ 3 ElEl7.Geothermal Energy Heating or Cooling Device
/ 20 .AA.
City,state,and ZIP C my ( �( M --3 I-3 QI — 000 t V l - 0 09
_ Old
Under penalties of pjiillti e>Q3y Ify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct and complete
as required by law, and Is 641irvee ccordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of
transferred real property, or omits 4/ any information required to be provided, commits a Level 5 felony. (Note: Both spouse's