Homestead_Hemmer H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
United States of America, acting through the Rural Housing 44,
Address(number and street) Address(number and street) •
-
c/o ISN Corporation;2000 N Classen Blvd, suite 3300 ,, , kb
City,State,and ZIP Code City,State,and ZIP Code
Oklahoma City, OK 73106 Dr
Country Country CC
20� 2,6
E-mail Address
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Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is trueL'®kj Ig,�amplete as
required by law,and is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies t er el r1.:ransferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. 04
Signature of Seller Signature of Seller TO/i
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Jennifer Bacon,Authorized Signer December 16,2024 December 16, 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
Marie Irene Hemmer
Address(number and street) Address(number and street)
231 W Vine Street , lb ,i�x
City,Slate,and ZIP Code City,State,and ZIP Code . `�a
Oakland City IN 47660 ry' ;
Country Country
i1 USA
fl
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyers primary 00 3.Homestead
g ET CI 1.
❑ Q 4.Solar Energy Heating or Cooling System
0 2f.Does the buyer have a homestead to be vacated ❑ ❑X 5.Wind Power Device
❑ for this residence?If yes,provide address: ❑ 0 6. Hydroelectric Power Device
Add ssrp (number ajyd et) ❑ ❑X 7.Geothermal Energy Heating or Cooling Device
/
1
Ci ;State.Z code,and noirnti
( Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
(..,y) 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
1
Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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