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Homestead_Schmidt (7) H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company Address(number and street, city,state,country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)IGRANTOR(S) Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document Abner Homes and Contracting LLC,an Indiana limited liability company Address(number and street) Address(number and street) 8572 West SR 65 City,State and ZIP Code City, State and ZIP Code Hazleton, IN 47640 Country Country ��� United States of America J i 4-.1) Email Address my knowledge and belief, c r t,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 tff�transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. .~(f:➢ • (Signature ell r Signature of Seller 0,4 Printed Name of Seller Date Signed(mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy) Derek Abner, Managing Member YYYY) 3/5/2025 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 • Kristofor L.Schmidt Moneka C. Fullop Address(number and street) Address(number and street) 1007 E Water St. 1007 E Water St. City,State and ZIP Code City, State and ZIP Code h � Princeton, IN 47620 Princeton, IN 47620 ' Country Country United States of America United States of America Email Ad ress YES NO CONDITION YES NO CONDITION 1-1- El 0 1. Will this property be the buyer's primary residence? El 0 3. Homestead Q ❑ El 4. Solar Energy Heating or Cooling System �f ❑ 2. Does the buyer have a homestead to be vacated for ❑ RI 5. Wind Power Device flthis residence? If yes, provide address: Address(number an 7 E.d street) 0 El 6. Hydroelectric Power Device 100 , j { c.f 0 0 7. Geothermal Energy Heating or Cooling Device 4.`- City State a d ZIP Code County C�( 1Z^O�^I�ZrO�3 ©� $, QZ$ c Pr i n lte>fdn, TN y76dIP Gibson p(b I 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 cNI 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 information,SSN/Driver's License/ID/Other Number Is necessary if a Homestead Deduction is being tiled.)