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Homestead_Kennard (2) H. PREPARER Proparer of the SaleMure Form 11£ ( Title �/e ` cery �a /Il// Company Address(number and street,dty,stale,country,and ZIP Code) 7820 Eagle Crest Blvd,Suite 201, Evansville,IN 47715 I. SELLER(S)/GRANTOR(S) ..._ _ Seller 1-Name as It appears on conveyance document Seller 2-Name as appears on conveyance document Eric Krepton Samantha Krepton Address(number and street) Address(number and street) 766 S White Church Road 766 S White Church Road City,state,and ZIP Code City,slate,and ZIP Code Princeton,IN 47670 Princeton,IN 47670 Country Country US US .-- Under penalties of perjury,I hereby certify 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 property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Signal Seller Sig r a�lu er Prince of Sol Dat signed mm/ddlyyyy) Printed Name of Seller Date sl ned(mmiddlyyyy) Eric Krepton 1111 1-1 Samantha Kre•ton I q /V 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 Charles Andrew Kennard Heidi D.Kennard Address(number nd street) Address(number and street) tO IAUJ ( 12VlrlaJ S L 5 a.!/t/l.e, City,state,and Z,IP Code / ,` City,state,and ZIP Code Country Country US US ,,_,_ 1 YES NO CONDITION YES NO CONDITION N .21 Cl- 3.Homestead o co 1.Will This property be the buyer's primaryz o co i'Lj `.. ; r - residence? 0 ,( 4.Solar Energy Heating or Cooling Syy t • o H re o 2.Does the buyer have a homestead to be vacated © 5,Wind Power Device z ^3 t-I for this residence? Ifyes,provide address: N tJ p �( 6.Hydroelectric Power Device D r�r, Address(number and street) p 7.Geothermal Energy Heating or Coolim ice d v, ' /oil w c?/t !a/ ? t5,t. 0 -- 5