Homestead_King (4) H. PREPARER
Preparer of the Sales Disclosure Form Title
Haley Smith 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
Paul Eugene Hull Tammy Lynette Hull
Address(number and street) Address(n mbe an street)
City,state,and ZIP Code P/F City,state,and ZIP Code
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real property,or omits or falsifJ ie any information re tred'to b'e provided,commits a Level 5 felony.
TSrature of S � _ g lure of Seller
�/ Name of Seller deL4Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Paul Eugene Hull 09/02/2022 Tammy Lynette Hull 09/02/2022
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 con me
Jedidiah King D
Address(number and street) Address(number and street)
3588 State Route 62 West
City,state,and ZIP Code City,state,and ZIP Code SEP 0 9 2022 -_____)
Boonville, IN 47601
Country Country e�
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary �' 0 3. Homestead
O 0 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
for this residence?If yes, provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
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