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H. PREPARER Preparer of the Sales Disclosure Form Title Abbey Messel Closing Agent Company Address(number and street,city,state,country,and ZIP Code) 4905 Theater Drive, Evansville, IN 47715 II. SELLER(S)/GRANTOR(S) Seiler 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Randall Duncan Kimberly Duncan Address(number and street) Address(number and street) 777 South 380 West 777 South 380 West City,state,and ZIP Code City,state,and ZIP Code Princeton, iN 47670 Princeton, IN 47670 ... Country Country ... USA USA • E-mail address required.by law,and is prepared in accordance with IC 6-1.1-5.5.A person wh knowingly and intentionally falsifies the value of transferred real pr erty,or omits or falsifies any Information required to be provided,co its a Level 5 felony... Sig to of Seile SI atu of Seller .�i � _ � C _ rimed ame of el er Date signed(mm/dd/yyyy) d Name of, Ilex Date signed(mm/dd/yyyy) Randall Duncan November 19, 2021 Kimberly Duncan November 19, 2021 certain deductions.Identify all of those that apply: YES NO CONDITION YF,S NO CONDITION ^•J�C�� 3.Homestead a z Ii 1.Will this property be the buyer's primary 0 z o rlkresidence? ❑ © 4.Solar Energy Heating or Cooling Sy N H 2.Does the buyer have a homestead to be vacated 0 ID 5.Wind Power Device N r ❑ for this residence? If yes, provide address: ❑ ® 6.Hydroelectric Power Device y N b Address(number and street) 0 © 7.Geothermal Energy Heating or Coo-4 ice City,state,and ZiP Code County 26 11-13-204-000.539-02& n