Loading...
Homestead_McKinney (2) 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) i Address (number and street) 10890 S. US Hwy 41 City, State and ZIP Code City, State and ZIP Code Fit Haubstadt, IN 47639 . ED Country Country United States of America Email Address - Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowledge atr 6)i .wale rect, and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionaQ /'Yitp � v lue of transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. DITOR ` gnature of Seller -? Signature of Seller �( o'— Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy) Brian S. Ellis, Managing Member YYYY) 10/4/2024 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 Kyler McKinney Address (number and street) Address (number and street) 1 te 619 S. Old Patoka Rd. City, State and ZIP Code City, State and ZIP Code Patoka, IN 47666 Country Country United States of America Email Address Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES., NO CONDITION El 1. Will this property be the buyer's primary residence? CAS ❑ 3. Homestead ❑ 0 4. Solar Energy Heating or Cooling System 0 i 2. Does the buyer have a homestead to be vacated for ❑ p 5. Wind Power Device this residence? If yes, provide address: ❑ p 6. Hydroelectric Power Device Address (number and street) ❑ © 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County A6 r 11 4 v._ /0 7_0©a, 3La I/ Dal 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 c -� ��. py