HomeMy WebLinkAboutHomestead_Mosser H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address (number and street, city, state, country, and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document Seller 2 — Name as appears on conveyance cJ e
Barton L. Wagner Jaclyn M. Wagner
Address (number and street) Address (number and street)
1806 Outer Lake Road 1806 Outer Lake Road NOV 3 2025
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 Princeton, IN 47670 �1� � ,��,�� �
Country Country / ,d� �'nd1
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USA USA GIBBON COUNTY QUDJTp
Under penalties of perjury, I hereby certify 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.
S,ture of Seller. SiaTlrre of Seller
(.1r„.----....,.. LA...../e-pl /71 Z./LA7 .1'
Printed Name of.„Stifel7 Date Signed (mm/dd/yyyy) Pred Na a of Seller ' Date Signed (mm/ddfyyyy)
Barton L Wagner November 10, 2025 Jaclyn M. Wagner November 10, 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
Chase Matthew Mosser Kiana Lee Mosser
Address (number and street) Address (number and street)
703 East Strain Street 703 East Strain Street
City, State, and ZIP Code City, State, and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
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Country Country
USA USA
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary)g-.
n El3. Homestead
residence? n n 4. Solar Energy Heating or Cooling System
- 2. Does the buyer have a homestead to be vacated ❑ E 5. Wind Power Device
for this residence? If yes, provide address: n n 6. Hydroelectric Power Device
Address (number and street) 0 []X 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and County - 0(1,1c1 .19--10z- ocio . 0$ o -02_,(0 .
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
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