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Homestead_Burnor
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)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document Household Thoughts, L.L.C., an Indiana limited liability company Address(number and street) Address(number and street) 44)14,4e) 10890 S. US Hwy 41 City,State and ZIP Code City,State and ZIP Code Haubstadt, IN 47639 , 49q Country Country V United States of America 9,.9 Email Address and belief,is true,)t4r nd 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 valul!✓�q� sferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. 0,9, Signature of Seller a Signature of Seller /� . ) Printed Name of Seller Date Signed(mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy) Brian S. Ellis, Managing Member YYYY) 4/30/2025 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 John M. Burnor Address(number and street) Address(number and street) 5312 Suncrest Ct. City, State and ZIP Code City,State and ZIP Code Evansville, IN 47711 Country Country United States of America Email Address , certain deductions.Identify all of those that apply: YES"° NO CONDITION YES NO CONDITION ❑ Will this property be the buyer's primary residence? f ❑ 3. Homestead 0 "Vi 2. Does the buyer have a homestead to be vacated for 0 El 4. Solar Energy Heating or Cooling,System this residence? If yes,provide address: 0 © 5. Wind Power Device Address(number and street) 0 Li 6. Hydroelectric Power Device 0 RI 7. Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County - ‘''- -- t01-oGO. 6 -02-6 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 , Page 3