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fH. PREPARER
Preparer of the Sales Disclosure Form Title
Abbigail Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
1. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it ap
pears on conveyance document
Dana S. Kremer
Address (number and street) Address (number and street)
2774 E 600 S
City, State and ZIP Code 1
1 City, State and ZIP Code
Fort Branch, IN 47648
Country
Country
United States of America
Email Address
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.
nature of Seller r
- ' /1 ,r/-eL__, Signature of Seller
4 .
ned (mm/dd/yyyy) X
Printed Name of Seller Date Si
9 Printed Name of Seller C:ite Signed (mm/dd yr)
Dana S. Kremer 12/5/2025
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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 o ent oo .
Spencer Schmitt { z
o w D
Address (number and street) '
Address (number and street) u
1077E750S --, ppz
City, State and ZIP Code City, State and ZIP Code 11S
Fort Branch, IN m
47648
Country Country
United States of America
Email Address
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 IV NO CONDITION
V_ ❑ 1. Will this property be the buyer's primary residence? ❑ 3. Homestead
❑ Na/ 2. Does the buyer have a homestead to be vacated for this ❑ 0 4. Solar Energy Heating or Cooling System
residence? If yes, provide address: ❑ 0 5. Wind Power Device .;
Address (number and stree 1 1�-. SOU -ID ❑ 40
El 6. Hydroelectric Power Device
-7...clRo S CD\c .L ❑ ❑ 7. Geothermal EnergyHeating
j -�2� _ or Cooling Device
City, State and ZIP Code County
\? /\\ -\l) --‘&'( � , . /9- i9- /o/- at. 773 - oOC
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 inlaccordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transferred real
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