Homestead_Halsne H. PREPARER
Preparer of the Sales Disclosure Form Title
Kris Coon Closing Agent
Company
Address (number and street, city, state, country, and ZIP Code)
4600 Washington Ave., Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Kristopher Bryan Fisher Veronica J. Fisher
Address (number and street) Address (number and street)
6796 S 1050 W 6796 S 1050 W
City. state, and ZIP Code City. state, and ZIP Code
Owensville, IN 47665 Owensville, IN 47665
Country Country
USA
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowi gly a " intentigjaliy falsifies the value of transferred
real property, or omits or falsifies any information required to be provided, commits Lev 5 felony
Sig e of eller . ; Signature of e ' ' f
Y -7
Printed Name f Seller ii/ty-t‘-i See .� Date signed (mm/dd/yyyy) Printed t�me of ter Date signed (mm/dd/yyyy)
Kristopher Bryan Fisher /p - Veronica J. Fisher ICI- 2 f - Z 5
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 conveya r' ment
William Andrew Halsne Jasmine Louise Halsne
Address (number and street) Address (number and street) LE I) i
302 E Vine Street 302 E Vine Street
City, state, and ZIP Code City. state, and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648 NOV 1 2 2025
Country Country
USA USA
0 0 1. Will this property be the buyer's primary O D 3. Homestead rt., . 0.' ,
residence? O O 4. Solar Energy Heating or Cooling System
O l/ 2. Does the buyer have a homestead to be vacated 0 O 5. Wind Power Device
for this residence? If yes, provide address 0 0 6. Hydroelectric Power Device
Address (number and street) Q O 7. Geothermal Energy Heating or Cooling Device
City, state, ZIP code, and county - I a-`'g -3 0 3 -- 000 . 2-b 2 - 026
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
Page 3 of 5
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