Homestead_Whyde H. PREPARER
er areroofthe Sal Disclosure
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Address(nubernd street,city,state, and ZIP Code)
101 Plaza East Blvd., Ste. 102 Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
eller-1- me as it ap ears on Qnveyance document Wier 2-N me ii asGs appear$on qop ante document
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E-mail address
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.
Signal re of ell .' Signature of Seller
i
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W' Y '
o e of Seller Date signed(mm/dd/yyyy) P' led Name of Seller Date signedA(mm/dd/y y)
0.Le I 0— L�-12 ' 'R-endQ �10ce 10 4 2
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Bu -NanteAs't appear;on cony yaannce document Buyer 2-Name as it appears on conveyance document
A 4ress fntirrpe as d stale)\`^'y �P Address(number and street) FILED
L\ L �10 e a 1 5-k •
Cit state,and ZIP e
A N ( City,state,and ZIP Code 0 C T 2 4 2022
9_I 1n 0 , ' 4-)(ol o Country /
C unry ey7
E-mail address ,-
for certain deductions.Identify all of those that apply:
YES/ NO CONDITION YES/ NO CONDITION
1.Will this property be the buyer's primary YE/
3. Homestead
residence? 0 d 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 ar— 5.Wind Power Device
0 0 for this residence? If yes,provide address: 0 DV 6.Hydroelectric Power Device
Address(number and street) 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county D]( ,` --0 1-'2( 11 - O o2 . h%' _0 28.
Under penalties of perjury,I hereby certify that 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.(Note:Both spouse's
copy