Homestead_Parker H. PREPARER Proparer of the Sales Disclosure Form Title _.bra ,�/R Title Company Company OV 1j _ _ ._ . Address(number and street,city,stale,country.end ZIP Code) 7820 Eagle Crest Blvd, Suite 201,Evansville,IN 47715 I. SELLER(S)IGRANTOR(S) Seller i—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Kevin W.Thomas Shari Thomas Address(number and street) Address(number and street) 508 E Clark St 508 E Clark St City,state,and ZIP Code City,state,and ZIP Code Owensville,IN 47665 Owensvllle,IN 47665 Country Country US US 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 falsities the value of transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. _a _ Stggp*ure of Sell _ SI nab of Seller Y� 1 /7 , 1v0 Date n signed mmldd! Printed Name of Seller Data signed(mm/dd/yyyy) Printed Name of Seltor ' ++• ,� 9 ( yyyy) Kevin W.Thomas 01/18/2022 Shari Thomas 01/18/2022 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 conveyanceFILED document Jennifer Renea Parker Address(number and street) Address(number and street) 1613 Ash St. U22 City,state,and ZIP Code City.stele,and ZIP Code ,AN 1. g 2 Vincennes,IN 47591 Country Country ,'h_ i (L.. ..7Azz,t.-..u� �SSONurOoUNT', AUDITOR uS ( ) Pursuant to IC 61.1.12.44,the Sales Disclosure Form may be used to apply for certain deductions.Identifyall of those that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary tl 0 3.Homestead ® residenCe? 0 O9 4.Solar Energy Heating or Cooling System ),( 2.Does the buyer have a homestead to be vacated a OD 5.Wind Power Device © P' for this residence? If yes,provide address: 0 ® 6.Hydroelectric Power Device Address(number and street) Q El 7.Geothermal Energy Heating or Cooling Device City,state,and ZIP Code County gr ( .01 _ 101 ,l0 0 0 - -- 2 ,O 2 Z Page 3 CPP