Homestead_Sevier dotloop signature verification:chip.ush9yi-ZJVe-k3Mp
H. PREPARER
Preparer of the Sales Disclosure Form Title
Milton Norman Settlement Agent Company E-mail address -
Address(number and street,city.state.country,and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville,IN 47708
I.SELLER(S)1GRANTOR(S)
Seller 1-Name as h appears on conveyance document Seller 2--Name as appears on ance document
Transcendent Healthcare Real Estate,LLC
Address(number and street) Address(number and street) �(J
- .. __
City,slate,and ZIP Code ``
my knowledge and bdi' •;.'� :,correct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentions l'' -c..,-s the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. eR
dotloop verified Signature of Seller
Xiere7LB1r6C�� 0e/31/23 1/42 PM CDT
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.. ,.,� ....,,.o,y„n (mrn/f!d/yyyy) Printed Name of Seller Date signed(mmidd/yyyy)
$Tom J.O'Niones,Member - 5C-` t 5 J. BUYERS)/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
Misty Anne Sevier
Address(number and Street) Address(number and street)
515 South 8th Avenue
City,state,and ZIP Code ' City,state,and ZIP Code
Haubstadt, IN 47639
• Country Country
US
E-mail address Telephone number
,,,,
Pursuant to IC 6-1.1-1244,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDf1'ION YES NO CONDITION
al 0 1.Will this property be the buyer's primary ® 0 3. Homestead
residence? 0 a) 4.Solar Energy Heating or Cooling System -
0 2. Does the buyer have a homestead to be vacated 0 C 5.Wind Power Device
iil for this residence?If yes,provide address: 0 53 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state.ZIP code,and county
f Z6- 23 —CA -9-00 -0'00_ ll — 009
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