Homestead_Brunsman 1 H. PREPARER ii,..,-''."...--. 4•f';'1:-.-
/Preparer of the ales lsclosure For . a/ Title .
f
Title Company
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
"••
I.SELLEKSWGRANTOR(S) •• •. . .
. .
1 •Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Jon Riggs
Address(number and street) Address(number and street
, PO BOX 130
City,State,and ZIP Code City,State,and ZIP Code
Oakland City,IN 47660 .fr .5.4
ote
Country Country 0 US 4" •
__ ... 20,47A
SO 'A,
'"
•
Under penalties of pedury,f hereby certify this Sales Disclosure,toihe best of my knowledge ent142ft ,fp-6'4 e correct,and complete as !
required by law and is prepared in accordance with IC 6-1.1-5.5.kperson who knowingly and lnientiorf: I, -;:•t%.1:s he value of transferred
real property,or omits or falsifies any information required to be pravided,commits a Level 5 felony.
Signature of Seller Signature of Seller ci
Printed Nam Sell Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Jon Riggs 11/27/2024 11/27/2024
J. B R(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
Douglas A.Brunsman Carol L.Brunsman
Address(number and street) Address(number and street) •
408B E Illinois Street 408B E Illinois Street
City,State,and ZIP Code City,State,and ZIP Code
Evansville,IN 47711 Evansville,IN 47711
Country Country
US US
•
• YES NO CONDITION YESA NO CONDITION
0
1.Will this property be the buyer's primary ,, - 0 3.Homestead
residence? ED N 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 OD 5.Wind Power Device
0 CD for this residence?If yes,provide address: 0 NJ 6.Hydroelectric Power Device
Address(number and street) 0 N 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County ar
-- 1. --- s-t__\02___000 . 408 -0 0:4..
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
.44 : ,•
,, . 4,I :;• ,,