HomeMy WebLinkAboutHomestead_Kissick H. PREPARER
Preparer of the Sales Disclosure Form Title
Leah Brown Settlement Agent
Company
Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
William D. Miller Joyce Miller
Address (number and street) Address (number and street)
205 N 4th Ave 205 N 4th Ave
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
US US
perjury, by
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' nature' ler - Signa��u. of Seller
n 7)-idai - )'2'Z �
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Printed Name of Seller I Date Signed (mm/dd/yyyy) Printed of ller Date Signed (mm/cd/yyyy)
William D. Miller 03/04/2026 Joyce Miller _G3104/2026
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
Charles David Kissick
Address (number and street) Address (number and streetTlitiED
641 South Second Ave, Apt 303
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 MAR
Country Country Nit f 02026
US ll
• :poly: i
YES NO CONDITION YES NO CONDITION
i O 1. Will this property be the buyer's primary [ 0 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 ® 5. Wind Power Device
0 ® for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City, State. and ZIP Code County
A O - O o O , S-C1 -- C)2-
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
3h,