Homestead_Jarrell H. PREPARER ,
Preparer of the Sales Disclosure Form Title
Leah Brown Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLER(SYGRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appearsporley nce d D
Robert A.McCurry Elizabeth A.McCurry di
Address(number and street) Address(number and street)
607 S Mill Street 607 S Mill Street
City,State,and ZIP Code City,State,and ZIP Code NUV 2 7 2024
Owensville,IN 47665 Owensville,IN 47665
Country Country
US US
f(1-)218S/e01144N COU(-2NTY. 94-1r..f InThntbiumber
( ) Ga.nx,
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 or falsifies any Information required to be provided,commits a Level 5 felony.
S' nature of Seller
/7/1 (A7C nature of Seller
z)lig
I. --M-
'Printed Name of Seller -
Dale
Signed(mmldd/yyyy) Printed Rime or Se ler ' Da Signed(mm/dd/yyyy)
Robert A.McCurry 11/20/2024 Elizabeth A.McCurry 11/20/2024
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
Dakota Jarrell Elsie Kenmuir
Address(number and street) Address(number and street)
680 11th NW St 680 11th NW St
City,Slate,and ZIP Code City,State,and ZIP Code
Linton, IN 47441 Linton,IN 47441
Country Country
US
4
--
US
.__
YES NO CONDITION YES NO CONDITION
,.., 1.Will this property be the buyer's primary 3 0 3. Homestead
Y. u residence? 0 3 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 3 5.Wind Power Device
0 20 for this residence?If yes, provide address: 0 31 6. Hydroelectric Power Device
Address(number and street) 0 Gil 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County c\i'
okb-ki - IL-lo I - Oco. 72_3 - 0 2_2.
•
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