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Homestead_Dillon H. PREPARER • Preparer of the Sales Disclosure Form Title Angela J.Moers 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 I. SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as It appears on c nvey c docu�'' District, Church of Nazarene, n Indiana non- Mackey Church of the Nazarene Mac ey aiTcrift ndiana Southwest IndianaInc.,, non- profit corporation profit corporation Address(number and street) Address(number and street) JUN 1.0 2025 322 Cedar View Lane 9612 E Main Street City,State and ZIP Code City,State and ZIP Code . Bedford,IN 47421 Oakland City, IN 47660 Country Country GIBSON 'v� d) United States of America United States of America OOUNTyAUDITOR Email Address 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 Information requi d to be provided,commits a Level 5 felony. Signature of Sell Signature of Seller,/� Printed Name of Seller Date Sign ml d/yyyy) Printed Name of. Date Signed mm/dd/yyyy) Timothy Crump,President 3- 15 C J9z- f. K©hl nje1 Tmited6/q 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 Jack Dillon Mandy Dillon Address(number and street) Address(number and street) 201 E Poplar Street 201 E Poplar Street City,State and ZIP Code City,State and ZIP Code Owensville,IN 47665 Owensville,IN 47665 Country Country United States of America 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 YES NO CONDITION CJ! 0 1. Will this property be the buyer's primary residence? RI 0 3. Homestead ID ® 2. Does the buyer have a homestead to be vacated for this CI ® 4. Solar Energy Heating or Cooling System residence? If yes,provide address: ❑ ® 5. Wind Power Device Address(number and street) 0 ® 6. Hydroelectric Power Device 0 m 7. Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County 26-‘7-O l-Lt(At -0 c?o, To 6 — 02'— 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 i', ',., • ,!. ,,,. kip +K< , ^ »�