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Homestead_Schmitt (30)
H.PREPARER Preparer of the Sales Disclosure Form Title Milton Norman Settlement Agent Company Address-(number and street,city,state,country,and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 1.SELLER(S),(GRANTOR(S) Seller 1 -Name as it:appears on conveyance document Seller 2-Name as appears On conveyance document Catherine T.Martin Address(number and street) Address(number and street 508 S.Ninth Ave. ,r City,,State,and ZIP Code City,State,and ZIP Code 't.4t) Haubstadt,IN 47639 Country Country J44 3 US Email Address my knowledge anComJ e*tutus,correct,and complete as .required by law,and Is prepared in accordance with IC 6-1.14.5;A sperSon who knowingly-and intentio lIy:?l tfl d.es the value of-transferre :real property;or omits or:falsifies any information required tobe"provided,commitsea Level 5 felony,. `'-'i- 1 S nature.of Seller . Signature of Seller , 'Printed Name of ler ler Date S' ned dd/yyyy) Printed Name of Seller Date Signed(mmldd/yyyy) I Catherine T.Martin J.2 ? M LI ,.,"13.U.N FR(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 Blake Schmitt ': Address(number and street) Address(number and street) 201 S Sixth Ave. City,State,and ZIP Code. City,State,and ZIP Code } Haubstadt,IN 47639 Country Country US �•yain deductions.Identify '41'of l ,,•�hat apply; aPj, YES NO CONDITION YES NO CONDITION 0 lir �cr ® ❑ 1.Will thi property be the buyer's primary l ❑ 3. Homestead .¢,r),1 K residence? 0 (Xi 4.Solar Energy Heating or Cooling Sy ry - ''', 5. ' 2. Does the buyer have a homestead to be vacated 0 CO 5.Wind Power Device / for this residence? If yes, rovide_address: w p 0 ® 6. Hydroelectric Power Device i Address(numberand street) 0 12 7.Geothermal Energy Heating or Cooing Device C i City;-State,and ZIP Code County a.-2/s ^ ©/KJ -r- - ©O u , -cl -Dop l ' Und,n p:aneh.ies.of perjury,.1 hereby cent.; .at this, :3ele:s.Disclosure,to the best of my 1.:-.o,'ledge and belief,is true,correct,and complete .. .__ _hy lav:',sue iN(r=:.Icy_ iu ___i.._.,ic,. v. .3) IC c-1.1-5.5.L,person v:no knowingly and intentionallyfalsifies:the value of . , _ ;ul" ,.rc•::? , : mmlt a Level 5 felony. (Note:Both spouse's c-`