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Homestead_Hall (2) 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 Terrance W. Powers Tracy L. Powers Address(number and street) Address (number and street) 1436 S. SR 57 1436 S. SR 57 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 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. ``Si n f Seller _�ignat'�r�,gfi eller "'leg ' / 5-`2.-(-,- ^T � C Date signed(mm/dd/yyyy) Printed Name o eller Date signed (mm/dd/yyyy) Trinted Name of Seller 9/16/2022 Tracy L. Power 19/16/2022 Terrance W. Powers 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 veyance document Bradley D Hall Melanie K Hall rL I LED Address (number and street) Address (number and street) 1502 Birch Ct. 1502 Birch Ct. City, State and ZIP Code City, State and ZIP Code SEP 2 Milton,WA 98354 Milton, WA 98354 2 2022i�1 Country CountryC United States of America United States of America/BSON 0 .z., V.t" _ E-mail address to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION p ❑ 1. Will this property be the buyer's primary residence? O 2 3. Homestead 4. Solar Energy Heating or Cooling System ❑ IZ 2. Does the buyer have a homestead to be vacated for 0 RI 5. Wind Power Device this residence? If yes, provide address: ❑ El 6. Hydroelectric Power Device Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device City, State,ZIP code, and county au- ► -l 3- Lkxyz_, - 000 .Q‘__sk. - co ..a (lQi Page3 COPY