Homestead_Sensmeier H. PREPARER
Preparer of the Sales Disclosure Form Title
Pamela Partenheimer Mick Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
219 N Hart St, PO Box 13, Princeton, IN 47670
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as a ar o co eya e document
Daniel J. Kautzman
Address(number and street) Address(number and street) be ,
103E Poplar St F
City,state,and ZIP Code City,state,and ZIP Code`V Q
Owensville, IN 47665 '? 20Z5
Country Country
Uh ce- 0 M A $ G/eSoM co
best of my knowledge and belief, 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.
Signs e f Selle Signature of Seller
Printed Name of Seller / Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Daniel J. Kautzman P 01312025
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
Ryan Edward Sensmeier Colleen Elizabeth Inyart
Address(number and street) Address(number and street)
1540 W Baseline Rd 1540 W Baseline Rd '
City,state,and ZIP Code City,state,and ZIP Code
Evansville, IN 47725 Evansville, IN 47725
Country 1 /J Country .�
V/t/Try' Afe5 v1t t1 S 2S
W0 1.Will this property be the buyer's primary K 0 3. Homestead
residence? 0 Q 4.Solar Energy Heating or Cooling System
0 2. Does the buyer have a homestead to be vacated 0 E 5.Wind Power Device
For this residence?If yes,provide address: 0 C) 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county it 0Z.
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
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