Homestead_Hammontree •
H. PREPARER
Preparer of the Sales Disclosure Form Title
Micah Scott 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
SH Investments, LLC
Address(number and street) Address(number and street)(,maFILED
City,state,pid ZIP Code City,state,and ZIP Code
r-, i.,I -1.i✓ LI`Z(o rl=W
Country ACountry APR 0 4 zua
E-mail address , ! ,4
best of my knowledge and beGth;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
r al property, omits or falsifies any Information required to be provided,commits a Level 5 felony.
S nature Seller Signature of Seller
ri ed e of Seller Date signed(mm/dam Printed Name of Seller Date signed(mm/dd/yyyy)
Josh a S. Shearer, Member 03/28/2022
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 appears on conveyance document
Gavin N. Hammontree Jennileka K. Hammontree
Address(number and street) Address(number and street)
924 Hugh Hunter Road 924 Hugh Hunter Road
City,state,and ZIP Code City,state,and ZIP Code
Oak Grove KY 42262 Oak Grove KY 42262
Country Country
US US
E-mail address /'� ,Q_
to apply for certain de uctions.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
O O residence? 0 O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
0 Yefor this residence?If yes,provide address: O p 6. Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county c ^ / l—O-7_.O/_ DO'1 3 1 g_0. r7
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