Homestead_Mtchell •
H. PREPARER
Preparer of the Sales Disclosure Form Title
Lana Harper , Settlement Anent
Company
Address(number and street,city,state,country,and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville,IN 47708
I.SELLER(S)IGRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appeP n ,ya nt
Nugget Properties LLC
Address(number and street) Address(number and street)
31625650E /
City,State,and ZIP Code City,State,and ZIP Code '1` 23 2025
Francisco,IN 47649
Country Country
US
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
rty,or omits falsifies any Information required to be provided,commits a Level 5 felony.
7na of Seller.' ' ,. ) �.SSiignature of Seller
Printed Name of r Dale Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mmlddlyyyy)
Richard J.Georges,Jr.,Managing Memt 07/17/2025 07/17/2025
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
Jacob Mitchell Emily Mitchell
Address(number and street) Address(number and street)
City.p r` �iP� r �I 7Q City.State,and
Cau,my N Country
US US
Email Address
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
IS 0 1.Will this property be the buyer's primary MI 3.Homestead
residence? 0 ® 4.Solar Energy Heating or Cooling System
❑ ® 2.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 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
A 11-o3 - l o3--o v2 .22-9 -0 2 8
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 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
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