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Homestead_Patnaude
H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis 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 Household Thoughts, L.L.C., an Indiana limited liability company Address(number and street) Address (number and street) 10890 S. US Hwy 41 City, State and ZIP Code City, State and ZIP Code Haubstadt, IN 47639 Country Country United States of America Email Address Address Telephone Number Under penalties of perjury,I hereby certify 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 transferred real property, or omits or falsifies any information required to be provided,commits a Level 5 felony. ignature of Seller Signature of Seller Printed Name of Seller Date signed (mm/dd/yyyy) Printed Name of Seller ate signed (mm/dd/yyyy) Brian S. Ellis, Managing Member 3/14/2024 � 1 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTI PP Y AJ Bu er 1 —Name as it appears on conveyance document Buyer 2— Name as it ap�ear on conveyance document McKenna Patnaude MAR �, ?SO Address (number and street) Address (number and street) rY 8126 Lincoln Ave.,Apt. 126A ,,,i City, State and ZIP Code City, State and ZIP CodeThalto UNTY A G'`OR Evansville, IN 47715 cvggON Country Country United States of America to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION El 0 1. Will this property be the buyer's primary residence? El ❑ 3. Homestead 0 Il 4. Solar Energy Heating or Cooling System ❑ 2 2. Does the buyer have a homestead to be vacated for 0 p 5. Wind Power Device this residence? If yes, provide address: 0 0 6. Hydroelectric Power Device Address(number and street) ❑ 0 7. Geothermal Energy Heating or Cooling Device City, State, ZIP code, and county ohi GRQr-©ate. Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct and complete v 1�