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Homestead_Patterson
H. PREPARER Preparer of the Sales Disclosure Form Title Haley Smith Escrow Officer Company Address(number and street,city,state,country,and ZIP Code) 7412 Eagle Crest Blvd Evansville, IN 47715 I. measitSELLER(S)/GRANTOR(S) r E 1 Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conve e c ent Michael L. Flener d ess(number d stre Address(number and street) 1Ar 1 5 City,state,and ZIP Code FEB 2 3 2022 City,state,and ZIP Code ((''�� ---• Country Country C/WAZ,( a. .1/Y�i..?%ESc.•.,-/ US US GIBSON COUNTY AUDITOR ( ) Under penalties of perju I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,an' is •. • , cordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real property or -'�r sifies an information required to be provided,commits a Level 5 felony. �` Signature of Seller Si atur, „ -:-I - �►�� ,� in : Name of Seller `= Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Michael L. Flener 2/11/2022 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY 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: YES NO CONDITION YES NO CONDITION © 1.Will this property be the buyer's primary O 0 3.Homestead &I G7 O re nce? 0 CI 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0O 5.Wind Power Device for this residence?If yes,provide address: 0 t 6.Hydroelectric Power Device ddress(., Lrntber a d street) ^� 0 C) 7.Geothermal Energy Heating or Cooling Device I,M n-`fin ., fate,ZIP code,and coup ` .(_23-p 6- o n- 000. U y-o oq (�� Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete • (y 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 t transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's • c information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.) D 1 Page 3 of 5 C t e.-Al C. Jc ' (It /r1S 'STG. CO. .e) 6 A Gk't- 2 l23 I2 - e. 8. , .0'l 1`/`n e.-`v. � aea.'. -C,� a ,1 sweillot4M. « Aac+ . •. . 30v-Ic. - CT 2-23 •ZL