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Homestead_Rowlett (2) H. PREPARER Preparer of the Sales Disclosure Form Title Abbey Moore Closing Agent Company Address(number and street,city,stale,country,and ZIP Code) 4905 Theater Drive, 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 Brandy S. McDowell Ad s num nd skeget).. /) Address(number and street) i To City,ptiato„a ZIP CO.is City,state,and ZIP Code Li Mar(aka c -LI ) Kl) t-( ( I, , Couctry ,rY Country 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. Signature of Seller Signature of Seller 1 ...a.fr- % YL+-„-i -t L Printed Nam of Seller Rate signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Brandy S. McDowell , t b J-G: . 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 con ,r►1 cum i�, Ryan T. Rowlett _ 1 �—iJ Address(number and street) Address(number and street) 126 South Jackson Street JAN 1 9- 2- City,state,and ZIP Code City,state,and ZIP Code ( Oakland City, IN 47660 Country ` Country GIBSON COUNTY AUDITOR USA used to apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary 0 0 3.Homestead 0 D residence? © l 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated O I J 5.Wind Power Device 0 0 for this residence? If yes,provide address: 0 O 6.Hydroelectric Power Device Address(number and street) 0 © 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county ca(- - ILI - is-tips- coo_23 t 4-GO —-- — C OPY Page 3 of 5