Homestead_Schmitt (14) H. PREPARER
Preparer of the Sales Disclosure Form Title
A6r49044.40044 Ma ,f�/J/�� TQwVli Escrow Officer
Company •� V ;
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
Lois K. Vessels, by Joey Vessels, her attorney-in-fact Lois K. Vessels, by Kathy J. Isaacs, her attorney-in-fact
Address(number and street) Address (number and street)
504 N. Hull St. 504 N Hull St.
City, State and ZIP Code City, State and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
United States of America United States of America
Email Address )(
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 r falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller aq1211-1`62-4:
6nglurKtp& / L1 ,CL-vi5 1� Ve50--� . "T r t ��LS P4N/ 4J r r
Printed Name of SeI ( Date signed (mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Lois K. Vessels, by Joey Vessels, her 4/16/2024 Lois K. Vessels, by Kat y . Isaacs, er 4/16/2024
attorney-in-fact attorney-in-fact TT
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AL A LY
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears
on sdn yan ent
Claire E. Schmitt
Address (number and street) Address (number and street) ApR
1077E750S I9 ?S(
City, State and ZIP Code City, State and ZIP
Fort Branch, IN 47648 C
ON
Country Country OUbTygV /
United States of America
used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 0 1. Will this property be the buyer's primary residence? IZ 0 3. Homestead
0 0 4. Solar Energy Heating or Cooling System
0 0 2. Does the buyer have a homestead to be vacated for 0 p 5. Wind Power Device
this residence? If yes, provide address:
❑ El 6. Hydroelectric Power Device
Address (number and street) ❑ 1E1 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and county
a2- (9- ( -'tea -00n . lc-0 ,Q 0
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
transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note:Both spouse's