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Homestead_Hightshoe (2) H. PREPARER _ Preparer of the Sales Disclosure Form Title Amanda Daly Settlement Agent Company Address(number and street,city,state,country,and ZIP Code) 7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 I. SELLER(S)IGRANTOR(S) m a Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Household Thoughts,LLC , Address(number and street) Address(number and street) 12246 Spurgeon Road Clly,state,and ZIP Code City,state,and ZIP Code Lynnville,IN 47619 Country Country US 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 parson who knowingly and Intentionally falsifies the value of transferred real property,or omits or falsifies any information required to be provided,commits a Levei 5 felony. • Signature of Seller Signature of Seller Printed Name Date signed(mm/ddlyyyy) Printed Name of Seller Date signed(mm/dwyyyy) Brian Ellis,Member 12/14/2021 12/14/2021 J. BUYER(S)IGRANTEE(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 Gregory A.Hlghtshoe Margaret A.Hlghtshoe Address(number and street) Address(number and street) 473 Mallard Lake Circle 473 Mallard Lake Circle City,state,and ZIP Code City,state,and ZIP Code Surfside Beach,SC 29575 Surfside Beach,SC 29575 Country Country US US E-mail address apply for certain deductions.Identify all of those that apps___ YES NO CONDITION YES NO CONDITION N 1.Will this property be the buyer's primary ® 0 3.Homestead cn p ® © PZI resIdence? 0 l 4.Solar Energy Heating or Cooling Sysl c, H O 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device sd N for this residence?If yes,provide address: p iXI 6.Hydroelectric Power Device y � d Address(number and street) 0 ® 7. Geothermal Energy Heating or Cooli ce Clly,state,and ZIP Code County 26-12-18-101-001.830-028 xi n W