Homestead_Schmitt (13) H. PREPARER
Preparer of the Sales Disclosure Form Title
Megan Boger 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
Heather A. Burton ,r
Adcr..ess(number and s 1 0 Address(number and street)
JC I ` • �� I)
Citate�and ZIP�o�� jV 4)(�� City,state,and ZIP Code 'y(Zv 03
Country (v� Country ,. q/z3
US US /-s0.��
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tin, )
Under penal s f perjury,I herebycertifythis Sales Disclosure,to the best of my knowledge and belief,is�gi�� t and complete as
P P s re i^leV� f
required by aw,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsi �he value of transferred
rea prop rty,or omits or falsifies any information required to be provided,commits a Level 5 felony.
S at f Se er ^ Signature of Seller
rinted e of eller C� Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Heather A. Burton 07/31/2023
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
Sandra S. Schmitt David E. Schmitt
Address(number and street) Address(number and street)
9774 S 450 W 9774 S 450 W
City,state,and ZIP Code City,state,and ZIP Code
Cynthiana, IN 47612 Cynthiana, IN 47612
Country Country
US US
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
O O residence? O Q 4. Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated O O 5.Wind Power Device
for this residence?If yes, provide address: O p 6. Hydroelectric Power Device
Address(number and street) 0 Q 7. Geothermal Energy Heating or Cooling Device
11 CJ1. I ir-e-144"- a,h_ a e .
(---- City,stat IP cod , d county , 6-1�_ lCf_103 ` 000. 1 8 — o2
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CZ 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
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