Homestead_Rexing (6) H. PREPARER
Preparer of the Sales Disclosure Form Title
Megan Boger 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) ,TT
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance do um?
Hallam Rentals, LLC Address(number and street) Address(number and street) ,90� - ,1)
1`�
City, ate,and ZIP Code ��� City,state,and ZIP Code G/- sZe"1
C/ ry.�/.7TC<- -�`->_0)�(�J c� . CoUS untry °OVN`I��
US
E-mail address
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.
*Signatu Iler Signature of Seller
� - �� ��
Prince Nam Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Anthony ' - Member 08/10/2022
J. BUYER S /GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 2-Na it appears on conveyance document
/Bu Buyer 1-Name as it a ars on conveyance document Y
Morgan L. Rexin Donald L. Rexin
umber and street) Address(number and street
City,state,and ZIP Code `� City,state,and ZIP Code
.„a.(s,ti nG-/ /Inc iCLi,0. �1 7T 2 5 ���,-�5 < lie-
YES NO CONDITION </ YES NO CONDI
1.Will this property be the buyer's primary _ ® El 3 Homestead
C) D 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
S for this residence?If yes, provide address: 0 ID 6. Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county toA/ 1/i - �/ a_ (or� .5p7 too ''
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the jbest of t /my knowled
ge 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 ouse's
of