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Homestead_Moorman H. PREPARER Preparer of the Sales Disclosure Form Title J. Robert Kinkle Attorney Company Address(number and street,city,state,country,and ZIP Code) 219 N. Hart Street, Princeton, IN 47670 I. SELLER(S)/GRANTOR(S) Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Michael G. Snyder Address(number and street) Address(number and street) 1030 E. 2nd Street City,state,and ZIP Code City,state,and ZIP Code Mt. Vernon, IN 47620 Country Country Weirriek-C-etifityv-USA best of my knowledge and belief,is true,correct and complete as required by law,and is prepar,& accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real property mits or f di s any information required to be provided,commits a Level 5 felony. Signatu eller , Signature of Seller Prin ame of S r Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Michael G. Snyder 12 I o i I 202-i J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTI Tip Buyer 1 — * a pears on conveyance document Buyer 2—Name as it appears on coPlate ocu 13 rank Moorman Carrie Moorman Address(number and street) Address(number and street) 9540 W 800 S 9540 W 800 S DEC 0 3 2021 City,state,and ZIP Code City,state,and ZIP Code Owensville, IN 47665 Owensville, IN 47665 ',A, _ ,__,. ,,2 ii,,,,_ Country Country ' '''"'" .".4"{- '''''''"'"fE"A'nd-) GIBSON COUNTY AUDITOR Gibson County, USA Gibson County, USA E-mail address certain deductions.Identify all of those that apply: YES NO CONDITION YES' -No COND gi 0 1.Will this property be the buyer's primary ,...._ Eill 0 3. Homestead residence? 0 91 4. Solar Energy Heating or Cooling System 0 Gil 2. Does the buyer have a homestead to be vacated 0 WI 5.Wind Power Device for this residence? If yes, provide address: 0 WI 6. Hydroelectric Power Device Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device City,state,and ZIP Code County a e-/ 7 - a t -,7-° ° - oe, Y. .5".3 e, Page 3