Homestead_Bartholomew don loop signature verification:drip!esrlviwE-clrOF, ,,e
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H. PREPARER - .
Preparer of the Sates Disclosure Form Title
Katie Felty Escrow Officer
Company
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Address (number end street, city, slate, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
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'I. SELLER(S)IGRANTOR(S)
Seller I -Name es it appears on conveyance document Seller 2- Name es appears on conveyance document
Harry P. Sausser Samantha Sausser
Address (number and sties \ Address (number end street) •
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a\ L .( kl'-k-t- ,
City, state, and ZIP Code City, state, and ZIP Code
( .42 t& \?(V—\ (-1 ,) 5-"\
Country Country
US US
E-mail address
required by law, and is prepared in accordance with IC 5-1.i-5.6. A person who knowingly and Intentionally falsifies the value of transferred
real property, or omits orfatslftos any Information required to be provided, commits a Level 6 felony.
a'axe aE seas _S`�etare of Seller ---a---.-
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Printed Nance of Seller L� Date signed (mm/dd yy>y) Printed Name of Seller Date signed (mrnicidlyyyy)
Harry P. Sausser 12/22/25 Samantha Sausser 12122125
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
David Bartholomew Deana Bartholomew
Address n mber street) Address (number and street)
14-0 Ecko- wa5r).i9+ty) 1-Iituli-k-
City, s ate, and ZIP Code City, state, and ZIP Code
Q1L\ Gild COc " -h Lnutioi .
Country Country
US US
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YES NO CONDITION YES NO CONDITION
Q O 1. Will this prooerty be the buyer's primary O O 3, Homestead
residence? O O 4. Solar Energy Heating or Cooling System I
O O 2. Does the buyer have a homestead to be vacated 0 () 5. Wind Power Device
for this residence? If yes, provide address O O 6. Hydroelectric Power Device
Address(number and street) p O 7. Geothermal Energy Heating or Cooling Device
City, slate, ZIP code, and county e-L.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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