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Homestead_Raney H. PREPARER Preparer of the Sales Disclosure Form Title Kelly Norton Escrow Officer Company Address(number and street,city,state,country,and ZIP Code) 101 Plaza East Boulevard, Suite 102, Evansville, IN 47715 I. SELLERS)/GRANTOR(S) . Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document MARLIN CODY SELBY DEBORAH K. SELBY Address(number and street) Address(number and street) 910 E Ohio Street 910 E Ohio Street City,state,and ZIP Code I City,state,and ZIP Code Princeton, IN 47670-3065 Princeton, IN 47670-3065 Country Country E-mail address best of my knowledge and belief,is true,correct and complete as required by law,and is prepared n accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real property,or o its or fal-ifie-' any information required to be provided, mmits a Level 5 felony. Signa re f S lei ig re f Seller if Pri i Name of S er Date signed(mm/dd/yyyy) Printed Name of Seller at sign (mm/dd/yyyy) MARLIN CODY SELBY June 16, 2022 DEBORAH K.SELBY June 16, 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 c ance document JAMIE ANN RANEY Address(number and street) Address(number and street) 910 E Ohio Street -4,4e) City,state,and ZIP Code City,state,and ZIP Cod • 41b,O Princeton, IN 47670-3065 9 Country Country /@ 2�� < 2e c s O mail address ON CnVN�$ lephone number E-mail address �( 1.Will this property be the buyer's primary 0 3. Homestead ✓✓✓LJLL CI residence? ❑ "4.Sglar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated El jj] ' 5.Wind Power Device ❑ for this residence? If yes, provide address: 0 ua/ f,Hydroelectric Power Device Address(number and street) 0 Fli*P 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county q!�`/ _ -1-,CA j_©c)(-k- 2`t `j- 0 28