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Homestead_Sherman H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis 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 Estate of Rickey Joseph Gardner Address (number and street) Address (number and street) FTL 5085 S.800 E. ED City, State and ZIP Code City, State and ZIP Code Francisco, IN 47649 JUL 1 3 2022� Country Country United States of America E-mail address Telephone number E-mail address �.fieil ., el h4n`e number GIBBON COUN- 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. Signature of Seller Signature of Seller Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller I Date signed (mm/dd/yyyy) 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 Jessica Carole Sherman Cainen Bradley Sherman Address(number and street) Address (number and street) 10206 E. 250 S. 10206 E. 250 S. City, State and ZIP Code City, State and ZIP Code Oakland City, IN 47660 Oakland City, IN 47660 Country Country © United States of America United States of America p 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: O YES NO CONDITION YES NO CONDITION 0 ll ❑ 1. Will this property be the buyer's primary residence? ❑ El 3. Homestead O 0 0 4. Solar Energy Heating or Cooling System J Fi ' 2. Does the buyer have a homestead to be vacated for ❑ p 5. Wind Power Device c%1 this residence? If yes, provide address: ❑ p 6. Hydroelectric Power Device N Addre (number and streets El 0 7. Geothermal Energy Heating or Cooling Device City, State,ZIP code, and county _pa ^�0_b _ 3QO _�0 0 i a` "vr�' Underrppehalt esof perju I hereby certify that this Sales Disclosure,to theo 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.(Note:Both spouse's information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.)