Homestead_Hauer H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbigail Moers 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 n nce document
Joseph W. Rendle
Address(number and street) Address(number and street) —
9771 S Watertower Dr. c
44,.h
City, State and ZIP Code City, State and ZIP Code C
Haubstadt, IN 47639 CO, ?O r
/Country Country C'/6 13
United States of America SON
Q /
Email Address Telephone Number Email Address �ONTy1 TelepI"ie� Num
Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowledge and belief, is tru ?i orrect 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.
Signature of Seller Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Joseph W. Rendle 11/21/2023
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
Phyllis A. Hauer
Address(number and street) Address(number and street)
a.5 II lr. f •
City, State and ZIP Code City, State and ZIP Code
CVIA14zs& . 4--i"7--1_
Country t Country
YES/ NO CONDITION YES NO CONDITION
ID 1. Will this property be the buyer's primary residence? ❑ 3. Homestead
El 0 4. Solar Energy Heating or Cooling System
/2. Does the buyer have a homestead to be vacated for this El El 5, Wind Power Device
residence? If yes, provide address:
0 El 6. Hydroelectric Power Device
Ad r��ss number and treet) ❑ El 7. Geothermal Energy Heating or Cooling Device
(� L(4 n/Letii S L. n U
C State,ZIP code, and rt1t y/(---Vill n SV) I (-,j I/0 477z vOnd `)‘- r -
7-0 Q ^00 Z 31-2. _O 24 .
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
3
CtPY
❑ El 2. Short Sale