Homestead_Walters 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)
1
Seller 1—Name as it appears on conveyance document: Seller 2—Name as appears on con/.;nc .cument
Household,Thoughts; L.L.C.
Address(number and street) Address(number and street) r 4..,,,,tr....... \\\
10890 South US Highway 41
City,state,and ZIP Code. City;state,and ZIP Code j
Haubstadt IN 47639 a! u 9
9
Country Country �\o,
.C�yfUS US
best of my knowledge and belief,is tra�)pct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who. knowingly and intentionally falsifi he value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Si'; ature of Seller, z Signature of Seller
A.
,,„...."""
-rint=I Name of Seller Date signed(mm/ddlyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Brian S. Ellis, Manager 11/26/2024
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer —Namq as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Tina alters
ShawnWalters
tuber and street) Address(number and street)
103 Possum Lane 103 Possum Lane
City,state,and ZIP Code City,state,and ZIP Code
Lynnville IN 47619 Lynnville IN 47619
Countr
y Country
US
US
NO CONDITION
O O 1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 1 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 (O 5.Wind Power Device
for this residence?If yes,provide address: 0 0 6 Hydroelectric Power Device
Address(number and street) C) O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIIP code,and county.
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
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