Homestead_Kittle i
H. PREPARER
Preparer of the Sales Disclosure Form Title
Claire Kincaid Settlement Agent ,
Company
4799 Rosebud Lane,Newburgh, IN 47630
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Jennifer L.Lintzenich
Address(number and street) Address(number and street)
6765 S 600 W
City,State,and ZIP Code City,State,and ZIP Code
Owensville,IN 47665
Country Country
US
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
al roperty,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
• ture of Seller Signature of Seller
r t Name Seller Date Signed(mm/ddfyyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Jennifer L.Lintzenich 08/08/2023 08/08/2023
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
Tony Lee Kittle
Address(number and street) Address(number and street)
4600 Erinwood Ct _ -p
City,State,and ZIP Code City,State,and ZIP Code Ct
Evansville,IN 47725 a.) I O
Country Country r T 1 0
USSw �
( ) ~ =
iPursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that 4 =YES NO CONDITION YES NO CONDITIONIII
1.Will this property be the buyer's primary y 0 3.Homestead to
X 0 residence? o tE 4.Solar Energy Heating or Cooling System O
X 0 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
for this residence? If yes,provide address: 0 (l 6.Hydroelectric Power Device
4fes ut5ber$n t t vvpoci c*„. 0 (2 7.Geothermal Energy Heating or Cooling Device
City,State,and P Cod 2 _1�/ 4 1�125 ��d�t � k 26-18-18-100-004.517-021
� i
Under penalties of perjury,I reby certify that this Sales Disclosure,to the best of my ledge 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
C 0 PY lib