HomeMy WebLinkAboutHomestead_Brown H. PREPARER
Preparer of the Sales Disclosure Form Title -L,
Matthew Jarvis Escrow Officer
Company
I
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) -V
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 DMT Holdings, LLC, a Kentucky limited liability company
Address (number and street) Address (number and street)
10890 S. US Hwy 41 4538 Lake Forest Dr.
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639 Owensboro, KY 42303
Country Country
United States of America United States of America
Email Address
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.
Signature of Seller� ,Y,6igna r f Seller
c �
Printed Name of Seller Date Si ��gn ed (mm/dd/ Print ame of Seller Date Signed (mm/dd/yyyy)
Brian S. Ellis, Managing Member YYYY) Jason McPherson, • • -r 9/19/2025
9/19/2025
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT A• • Y
Buyer 1 — Name as it appears on conveyance document Buyer 2 — Name as it appears on co e • cument
Keith Eric Brown Emilie Ann Brown S(p
Address (number and street) Address (number and street) 3
901 Mohawk 901 Mohawks • 0�5
ryL\eLLD .
City, State and ZIP Code City, State angti J
Ft Branch, IN 47648 Ft Branch, IN 47648 C%
Ai,. ."-//-
"YiiCount ' C `
� ountry 4CJpI�
YES NO CONDITION
11 El 1. Will this property be the buyer's primary residence? Ell El 3. Homestead
❑ 4. Solar or C•o!i
❑ 0 2. Does the buyer have a homestead to be vacated for Energy Heating
this residence? If yes, provide address: El 21 5. Wind Power Device ,i;
Address (number and street) CI RI6. Hydroelectric Power Device
D 0 7. Geothermal Energy Heating or Cooling Device_
City, State, and ZIP Code County j�{ Q '' ^ .{��\jam
caai�L + 1 ` - 1 - ✓�L 1 - V`/V- a -- \J - Lam[
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