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Homestead_Mossberger
H. PREPARER Preparer of the Sales Disclosure Form Title Leah Brown Settlement Aaent Company Address(number and street,city,state,country,and ZIP Code) 7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 _ .L..I. SELLERS)/GRANTOR(S) _ _ -u _ __ - ^� • Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyan c ent Dennis M.Simpson Diana L.Simpson Address(number and street) Address(number and street) ry! 5536 West 550 S 5536 West 550 S "l/ OI 40 City,State,and ZIP Code City,State,and ZIP Code • 2025 C� Owensville,IN 47665 Owensville, IN 47665 Q/R Country Country 80A, US US CoQIv IW`l ( /1'0.8 SQn^4. Under penalties of perjury,I hereby certify 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 transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. 1. -lure of Seller Signature.o er no. ram - Oy-�S-,�©2s L 4-- � `/-2rf'-ZS Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Dennis M.Simpson 04/28/2025 Diana L.Simpson 04/28/2025 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 Christopher Mossberger Danvelle Fenwick Address(number and street) Address(number and street) 605 S Ninth Street 605 S Ninth Street City,State,and ZIP Code City,State,and ZIP Code Haubstadt,IN 47639 Haubstadt,IN 47639 Country Country US US Email Addrgss r A YES NO CONDITION YES NO CONDITION '° 1.Will this property be the buyer's primary ® 0 3. Homestead residence? 0 ® 4.Solar Energy Heating o • a• it f X . 2. Does the buyer have a homestead to be vacated O ® 5.Wind Power Device Y : r, t`+ for this residence? Ifyes,provide address: ") O ® 6.Hydroelectric Power Device r> •.dr-s (nu,.ber.nd"stree) 0 al 7.Geothermal Energy Heating or Cooling Device - f • ,Slate,a d Zl- Code L� County .:: ,41170 a ( 6-1 0�p — 01 r\01 ^000 y )0 —Q22— nder 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 6-1.1.6.5.A person who knowingly and intentionally falsifies the value of S -� ant(-C li la°12 ►dal(cv'i . . . 6- �.a.1I bC \ of ,n (1 '`1�, i----KAI in Go j . _