HomeMy WebLinkAboutHomestead_Matz 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 SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document Seller 2 -- Name as appears on -nce document
Dana George _
Address (number and street) Address (number and street)
5779 South 275 East _ _
City, State, and ZIP Code City, State, and ZIP Code F^
Fort Branch, IN 47648 ^ _ 4h
Country Country ?O2
USA
t • 6
best of my knowledge and belief Uw rrect and complete as
required by law, and is prepared in...,accordance with IC 6-1.1-5.5. A person who knowingly and intentionally value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. 0�
ign� u a Seller Signature of Seller
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L'r ! s \ .
Printed Name of Seller t , Date Signed (mm/dd/yyyy) Printed Name of Seller Dale Signed (mm/dd/yyyy)
Dana George February k 2026 February 5, 2026
J. BUYER(S)/GRANTEE(S) — APPLICATION FOkt 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
Jared Matz Kelsey Matz
Address (number and street) Address (number and street)
107 South Willard Street 107 South Willard Street
City, State, and ZIP Code City, State, and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
USA USA
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary ❑I ❑ 3. Homestead
I1 ❑ residence? ❑ rj 4. Solar Energy Heating or Cooling System
c42. Does the buyer have a homestead to be vacated ❑ II 5. Wind Power Device
9. for this residence? If yes, provide address: n 0 6. Hydroelectric Power Device
Address /. !n Address/number and street) r n ❑X 7. Geothermal Energy Heating or Cooling Device
)91
City. Slaw., ZIP code and Cc;inty f / �r
1 ' 14 �,'WW(1(.vi I('.. 1 (. 7p164 b -k _ II -- 03 - U O 0 . tcf 6 —O 2—
r 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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