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Homestead_Parker (2)
H. PREPARER Preparer of the Sales Disclosure Form Title Christina Gourley Title Clerk Company Address(number and street,city,state,country,and ZIP Code) 4600 Washington Ave, Suite 102, Evansville, IN 47714 I. SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Quincy Penner FILED `Ad tss(t umber end street � �� Address(number and street) /X_ (Cj/Sstatg,aand[TZ�IJIP'Code City,state,and ZIP Code SUN 1 3 2022 Count Country 1. 5 %� 181T0h 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. nature of Seller Signature of Seller P ted of Seller X.Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Quincy Pe nor • drl- e2a-- 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 Steven Parker Address(number and street) Address(number and street) ?0Yi yJZ7 141 City,state,and ZIP Code City,state,and ZIP Code )-©c,rl est e v r//e 1� Y1640' Country Country apply for c n deductions.Identify all of those that apply: YES CONDITION YES NO CONDITION 1.Will this property be the buyer's primary 0 3. Homestead residence? 0 O 4.Solar Energy Heating or Cooling System Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device 0 for this residence?If yes,provide address: 0 p 6.Hydroelectric Power Device Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county a6-\-i--0 s y o'( .DO 3 ,b 3 4 0z, Y=._ '