Homestead_Richards H. PREPARER
Preparer of the Sales Disclosure Form Title
Haley Smith Escrow Officer
Company
Address(number and street,city,state, country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears o onv a doc nt
Eagle Limited Liability Company ���(((
Address(number and street) Address(number and street)
gb53 41,_5-c S OFC p 2-
City,state,and ZIP code City,state,and ZIP Code a
. ,:p0r1KL 2) C Tr, /Il 4--7�C 0 23
Country Country C/BS ..V <'
US US ONCO•Q1/ a4 rT\
3
C/rO
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,;Forr and complete
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifi I e of transferred
real prope or omits alsifies any information required to be provided,commits a Level 5 felony. OR
Sign r f S Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Richard Falls, Manager 12) 1 123
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
Tracy L. Richards
Address(number and street) Address(number and street)
122 East Mill Street
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660
Country Country
US US
to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O O 3. Homestead
O O residence? 0 O 4.Solar Energy Heating or Cooling System
12. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O for this residence's If yes,provide address: O O 6. Hydroelectric Power Device
Address(number and street) 0 p 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete