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Homestead_Davis (28) H. PREPARER Preparer of the Sales Disclosure Form Title Abbigail Moers Escrow Officer Company Address(number and street, city, state, country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document Lynn R. Singer Address(number and street) Address(number and street) 1610 W. Brumfield City,State and ZIP Code City,State and ZIP Code Princeton, IN 47670 Country Country United States of America E-mail address 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. - yVture of,Sr •,lv--,—•--- e. . ....„--4...- Signature of Seller Printed Name f Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Lynn R. Singer 2/15/2022 2/15/2022 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 ap ears on conve ani cument Tucker J. Davis Address(number and street) Address(number and s OIL 909 E. Broadway St. City,State and ZIP Code City, State and ZIP Code FEB 17 ZOZZ Princeton, IN 47670 , Country Country tthe..cizetzi a. i,,,k7,4,..,,,,,, United States of America GIBSON COUNTY AuDITOR E-mail address Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply: YZ4. ,..... NO CONDITION YES,,— NO CONDITION El 1. Will this property be the buyers primary residence? 0 3. Homestead -:-. 0 RI 4. Solar Energy Heating or Cooling System 0 'SVC Does the buyer have a homestead to be vacated for this 0 El 5. Wind Power Device Too< residence'? If yes, provide address: 0 El 6. Hydroelectric Power Device Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device City,State,ZIP code,and county 6-- ool - A ©- o2_zs Page 3