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Homestead_Heironimus • ( H. PREPARER 1 Preparer of the Sales Dis losure Form Title 49 Company E- Address(number and street.city,state,country.and ZIP Code) 7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 I. SELLERS)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears o n ya e d to Mildred F.Morrison Address(number and street) Address(number and street) ZQ22 1607 McDowell Road MAR 1 8 City.state.and ZIP Code City.state,and ZIP Code �/�i Evansville,IN 47712 (7,2„4,f Y AUpt ' 14) Country Country GtBSON COON 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 falsifies the value of transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Sig Lure of Seller Signature of Seller �fL4,�' -7- -r fi-Z- Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller l Date signed(inm/dd/yyyy) Mildred F.Morrison 03/14/2022 03/14/2022 _, J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1-Name as it appears on conveyance document I Buyer 2-Name as it appears on conveyance document i Scott W.Heironimus {t Cheryl L.Heironimus ° Address(number and street) Address(number and street) 1215 Carol Ave 1215 Carol Ave City,state.and ZIP Code City,state,and ZIP Code . Princeton,IN 47670 Princeton,IN 47670 QO Country Country c' , US US Q MPursuant 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 0 3.Homestead cf) yl. Q residence? 0 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device I O for this residence? If yes,provide address: 0 6.Hydroelectric Power Device -T q Address(numberand street)n Q 7.Geothermal Energy Heating or Cooling Device IECg 1(,t 6 k Ci y te, P co and coup, 1-M U- �' .�ic�� t �, 0 . 6-\2-20-400- ©04 . '81y -o2� t Under penalties of perjury,I her y 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 t transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's `O Page 3 of 5 C 0 PY