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Homestead_Young
• /H. PREPARER -'} Preparer of the Sales Disclosure Form Title Megan Boger Escrow Officer Company Address(number and street,city,state,country,and ZIP Code) 7412 Eagle Crest Blvd 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 Shane E. Brogan Cynthia M. Brogan Address(number and street) Address(number and street) 10 4 iv- i.,,;. hb -•-. 0 t• - 1 ./ - _ i-.IL, A ,- . City,state,and ZIP Cod City,state,`and ZIP Code / Li c7(03 el- Country Country US • US E-mail ad ress 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 om}ksor falsifies any information required to be provided commits a Level 5 felony. Si�nature rjerer' ' \> Si nat e of Seller _ ,�y� A �t �•..-' 'tth L�..J✓/ 7/. �[2/\�-Oa6/7 9 rintedNaf x e''orail r Date signed(mm/ddlyyyy) r me me of Seller to signed(mm/dd/yyyy) Shane E.'Brogan 01/20/2022 Cynthia M. Brogan 01/20/2022 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 aooears on conveyance document Jacquelyn'L.Young - Address(number and street) Address(numnArany<i.e=+ LE. 13 10 64 'R.-, ''s- +--, P -J - City, ate,and ZIP Code City,state,�and ZIP Code rr : r..-:i---.^. Z.A., L4 '7 Lo n JAN SW, 022 - Country Country US us f E-mail addr as A 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 Gl 0 3. Homestead O residence? 0 C) 4. Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device 0 for this residence? If yes,provide address: p (p 6. Hydroelectric Power Device -Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county kl r-,^ -0 r ^ `i o 0 - 000, 00, ©t ^--- o 2- 7 ' Under penalties of perjury,I hereby certify that 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 Last5ofSSN: Page 3 of 5 Foreman Watson Lanr -i+Iw, LLG III w 7412 Eagle r-ems+ .1,,. Evansvilii:; ii'V 41/15