Homestead_Tomey-Hunt H. PREPARER
Preparer of the S lessjDis9cllosure Form Title
I Q f�(/�"ia / Title Company
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears, 6i 6nn y ce document
John Kissel
Address(number and street) Address(number and street)
604 West Garfield Avenue ✓j,H
etoCity, n IN 7670 and ZIP Code City,State,and P Code J/Princ fi
U 'y Country /e, lPrinc
US °�CoQ
Email Address
to the best of my knowledge and belief,is t 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
rea pr perry,or omits]r falsifer any information required to be provided,commits a Level 5 felony.
Si rt e of Seller I ' Signature of Seller
Pribted Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
John Kissel 06/10/2024 06/10/2024
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 conveyance document
Peggy Tomey-Hunt
Address(number and street) Address(number and street)
7712 Coventry Court,Apt C
City,State,and ZIP Code City,State,and ZIP Code
Evansville, IN 47715
Country Country
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YE' NO CONDITION
1 0 1.Will this property be the buyer's primary f/ 0 3. Homestead
residence? 0 ® 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
79 for this residence?If yes,provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 (id 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County nrTI7-_l$_1US_OO2 .GQ -028
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