Homestead_Heldt (8) H. PREPARER
Preparer of the Sales Disclosure Form Title
Amy B.Pollard Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Richard Mull Lorinda Mull
Address(number and street) Address(number and street)
10425 Browning Road 10425 Browning Road
City,State,and ZIP Code City,State,and ZIP Code
Evansville, IN 47725 Evansville, IN 47725
Country Country
US US
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,c• ' its a Level 5 felony.
Signature o Sell C i��'l�G�/ Sign. 7f.:0•717
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Richard Mull 02/26/2024 Lorinda Mull 02/26/2024
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 ance document
Mary K.Heldt
Address(number and street) Address(number and street) LEI)
244 N CR 700 W
City,State,and ZIP Code City,State,and ZIP Code
y MAR
Petersburg,IN 47567 u Country Country 10�j • I4
US Gin/% mac*
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary ® 0 3. Homestead
® residence? 0 0 4.Solar Energy Heating or Cooling System
0 ® 2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
for this residence? If yes,provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
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