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Homestead_Glaser H. PREPARER Prepnrer of the Sales Disclosure Form Title Shannon Valiant Escrow Officer Company Address(number and street, city, state, country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document Michael A.Wassmer Elizabeth M. Schmitt Address(number and street) Address(number and street) 5045 Valeah Dr. 3258 W 1050 S City, State and ZIP Code City, State and ZIP Code Wadesville, IN 47638 Haubstadt, IN 47639 Country Country United States of America United States of America Email Address 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. Sinature of Seller SLnature of Seller Printed Name of Seller Date signed (mm/dd/yyyy) Printed-Name of Seller/ Date signed(mm/dd/yyyy) Michael A.Wassmer 8/4/2023 Elizabeth M. Schmitt 8/4/2023 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 Shawn M.Glaser Address(number and street) Address(number and street) 19700 Highway 57 C Opki:,.. City, State and ZIP Code City, State and ZIP Code Evansville, IN 47725 Agijjk Country Country United States of America \��` Pursuant to IC 6-1.1-12-44,the Sal s Di- •sureRrm may be used to apply for certain deductions. Identify all of those that apply: YES NO CONDITION ', Q, YES NO CONDITION Ai. ❑ 1. Will this prope e buyer's� rimary --.,;1-le? >< 3. Homestead ❑ 4. Solar Energy Heating or Cooling System ❑ )' 2. Does the buyer ha a hor tead to b�,v ,Tted for y UJ'' s� ❑ �. 5. Wind Power Device this residence? If yes, provide address: `, ❑ Cff 6. Hydroelectric Power Device Address(number and street) 0 7. Geothermal Energy Heating or Cooling Device 0,0 City, State,ZIP code, and cow-try' P,U-1 0 -„ 2L-,- L)02 -©0,- Oct 0-o 2 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 Page 3