Homestead_McKibben H. PREPARER
Preparer of the Sales Disclosure Form Title
Allyn Tresenriter Escrow Officer
Company
Address(number and street,city,state,country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance do nt
Heather Kissel f!!'�
Address(number and street) Address(number and stree. Vl
618 South Hart Street lc.,
City,state,and ZIP Code City,state,and ZIP Code B ` y
Princeton, IN 47670 `s04, O1
Country Country 8(i
US US
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.
Sig ure of Seller Signature of Seller
Q
Printed ame of Seller Date signed(mm/ddlyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Heather Kissel 7/8/2024
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
Tyler McKibben
•Address(number and street) Address(number and street)
613 Oxford Street
City,state,and ZIP Code City,state,and ZIP Code
Grayville, IL 62844
Country Country
US US
YES NO CONDITION
O O 1.Will this property be the buyer's primary 0 0 3. Homestead
residence? 0 O 4. Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
for this residence? If yes, provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 2ibb —12 O 7.- 2c)3- O O I , -1 i6- O`_
Last 5 of SSN:
Page 3 of 5