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Homestead_Heneisen H. PREPARER ter_. _ Preparer of the Sales Disclosure Fomi Title Claire Kincaid Address(number and street,city,state;country,and ZIP Code) 4799 Rosebud Lane,Newburgh,IN 47630 • I. SELLERS)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Chastity Beasley Address(number and street) Address(number and street) �. 9939 E.550 S. City,State,and ZIP Code City,State,and ZIP Code _Oakland City,IN 47660 ) Country Country US if best of my knowledge aaS6)i��� f . e,correct,and complete as required by law,and is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and Intentfciall• -es the value of transferred- real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. 'Wm ' I l � Signature of Seller ©/FOR °� :1-?n tea- me of Seller aigned(mm/ddlyyyy) Printed Name of Seller ' Date Signed(mm/ddlyyyy) , Chastity Beasley 02/11/2025 - 02/11/2025 J. BUYER(S)IGRANTEE(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 Markie Michelle Heneisen David A.Schoettlin.II Address(number and street) Address(number and street)' - ' 5301 Carriage Dr.,Apt 233 5301 Carriage Dr.,Apt 233 City,State,and ZIP Code City,State,and ZIP Code i Evansville,IN 47715 Evansville,IN 47715 Country . Country • US YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary 0 3.Homestead residence? 0 a 4.Solar Energy Heating or Cooling System ❑ J2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device for this residence?If yes,provide address: 0 ® 6.Hydroelectric Power Device Address(number and street) 0 t 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County 26 l,� - R_i O b_001 0I .O� i _O O 1 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best off my knowledge and belief,is true,correct,and complete Page 3