Homestead_Bolton H. PREPARER i
u_
Preparer of th S les Disclosure F rra / Title
A G Title Company
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
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1 I. SELLER(S)/GRANTOR(S) J
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on c v ocument
Beachfrant Properties,LLC
'Ejr2)
I Address(number and street) Address(number and street)
PO Box 25
City,State,and ZIP Code City,State,and ZIP Code AUG 0
Fort Branch,IN 47648 6 2024
Country Country
eizeI US
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. '
Sig ture of Seller S' ature of S Iler c_____
Print d Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Se er to Signed(mm/dd/yyyy)
Lisa A.Schafer, 08/0212024 C\/.\( -kV- 08/02/2024
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
1 Kaleb Bolton Graysen Bolton
I Address(number and street) Address(number and street)
527 S Gibson Street 527 S Gibson Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton,IN 47670 Princeton,IN 47670
Country Country
US US
YES NO CONDITION YE�j NO CONDITION
si 1.Will this property be the buyer's primary 0 3. Homestead
residence? 0 0 4. Solar Energy Heating or Cooling System
d2. Does the buyer have a homestead to be vacated 0 IX 5.Wind Power Device
for this residence?If yes,provide address: p ® 6. Hydroelectric Power Device
Address(number and street) p ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 21*-1
( 2--
0 1 — (G( 2-14 I -t)2_s
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
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