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Homestead_Kitch H. PREPARER Preparer of the Sales Disclosure Form Title Abbey Moore Closing Agent Company Address(number and street,city,state,country,and ZIP Code) 4905 Theater Drive, Evansville, IN 47715 II. SELLER(S)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Estate of Raymond E. Overline Address(number and street) Address(number and street) 6030 Mimosa Drive _ City,state,and ZIP Code City,state,and ZIP Code Evansville, IN 47715 yCountry Country USA • - 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.Aperson who knowingly and intentionally falsifies the value of transferred real property,or omits or falsifies�,[j� any Information required to be provided,commits a Level 5 felony. ignat e of Seiler ii {1`r r Q Signature of Seller e.----- t/.4 .t f,-c eiVN-AI f` lei e.-a-,,LA-4/4--4 ' Pri ed Name of Seller Date signed mm/dd/yyyy) Printed Name of Seller Date signed(mmlddlyyyy) Stephanie K.Childs, Personal Represents December 3, 2021 December 3, 2021 yJ.:.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 Alan Kitch Address(number and street) Address(number and street) 10282 South Pheasant Run City,state,and ZIP Code City,state,and ZIP Code Haubstadt, IN 47639 Country Country I USA _ appty for certain deductions.Identify.all of those that ap�rEy: YES NO CONDITION YES NO CONDITION c 1.Will this property be the buyer's primary ® 0 3.Homestead o o nSAX `� residence? © 4.Solar Energy Heating or Cooling o -I ❑ 2.Does the buyer have a homestead to be vacated 0 eft 5.Wind Power Device N '"� for this residence? If yes,provide address: Q 6.Hydroelectric Power Device = N_ L� Address(number and street) 0 ® 7.Geothermal Energy Heating or Coo ice O City,state,and ZIP Code . County xi 26-18 36 300-002-1t14-024 co