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HomeMy WebLinkAboutHomestead_Muzzall H. PREPARER _ Preparer of the Sales Disclosure Form —7-Title Jamie E. Smith _Escrow Officer Company Address (number and street. city, state, country. and ZIP Code) 101 Plaza East Boulevard, Suite 102, Evansville, IN 47715 I. SELLER(S)/GRANTOR(S) Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Bryan D. Tucker Braden M. Tucker Address (number and street) Address (number and street) 9807 Joy Lane 1014 S Main Street City. State, and ZIP Code City, State, and ZIP Code j Haubstadt, IN 47639 Fort Branch, IN 47648-1734 Country - Country - -- - - - - — 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. Signature of Seller Signature of Seller Panted Name of Seller Date Signed (mmlddlyyyy) Printed Name of Seller Date Signed (mm/dd/yyyy) Bryan D Tucker March 6, 2026 Braden M Tucker March 6, 2026 J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - D IF AL it-LY Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on Karston Muzzall Samantha Jo Muzzall Address (number and street) Address (number and street 1014 S Main Street 1014 S Main Street �P" U 1 202. City, State, and ZIP Code City. State, and ZIP Code Fort Branch, IN 47648-1734 Fort Branch, IN 8-1734 Country Country G18SON COU 4`"'' Q) N7Y E-mail Address ' apply for certain deductions. Identity all of those that apply: YES NO CONDITION YES NO CONDITION 1 . Will this property be the buyer's primary �, 0 3. Homestead ❑ residence? El 4. Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated 5. Wind Power Device ❑ for this residence? If yes. provide address: D q 6. Hydroelectric Power Device Address (number and street) 0 N.j 7. Geothermal Energy Heating or Cooling Device - City, State ZIP code. and County €)'- l g . '1 c , — 2<) t , -O 00 i a _O 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 transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's Page 3