Homestead_Mercer H. PREPARER
Preparer of the Sales Disclosure Form Title
Leah Brown Settlement Agent —
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S) �J
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears an conveyance ument
Household Thoughts,L.L.C.
Address(number and street) Address(number and street) .
10890 S US Highway 41
City,Stale,and ZIP Code City,State,and ZIP Code .
Haubstadt 47639 ' 46
Country Country �,
US
best of my knowledge and belief,Is t and complete as
ti
required by law,and is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally faisl "value of transferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. iG„
Signature of Seller Signature of Seller
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller I Date Signed(mm/dd/yyyy)
Brian S.Ellis,Member 07/15/2025 I 07/15/2025
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 1
Kamerin Katelvn Mercer Mikeal Lee Mercer
0 Address(number and street) Address(number and street)
2116 Bremmerton Dr. 2116 Bremmerton Dr.
City,State,and ZIP Code City,State,and ZIP Code
Evansville,IN 47711 Evansville,IN 47711
Country Country
US US
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
IX1.Will this property be the buyer's primary IX 0 3. Homestead
residence? 0 ® 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated O ® 5.Wind Power Device
for this residence? If yes,provide address: p ® 6. Hydroelectric Power Device
Tff rs (n r and street)er-f vn 1�'. 0 ® 7.Geothermal Energy Heating or Cooling Device
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tty, State,and ZIP Code / County 6'��- -0` - LkQQ 000 6 _0 2I .
Under penalties of perjury,I hereby certify that this Sales Disclosure, the best of my knowledge and belief,is true,correct,and complete I
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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