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Homestead_Cowan H. PREPARER ------ N------- --- -- Preparer of the SalesDisc.sure Form Title ra a _Title Company _..___. Company Address(number and street.city.slate.country.and ZIP Code) 7820 Eagle Crest Blvd,Suite 201,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 Bradley Black Address(number and street) Address(number and street) 4651 N SR 65 _- City,state,and ZIP Code City.state.and ZIP Code Patoka,IN 47666 -_.T Country Country US 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 cJp ure of Seller Signature of Seller Printed Name of eller Date signed(mrn/ddlyyyyJ Printed Name of Seller Date signed(mm/dd/yyyy) Bradley Black 12/08/2022 , 12/08/2022 J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY 1 Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on emirs-n Christopher Tyler Cowan Address(number and street) Address(number and street) - 203 S Seminary St ---------_-_-_ _. _._- City,state.and ZIP Code City,state.and ZIPP Code DEC 1 3 202 -� Princeton,IN 47670 Country Country --- %, a ) YES NO CONDITION 1.Will this property be the buyer's primary X E 3.Homestead residence? 0 [Xi 4.Solar Energy Heating or Cooling System © cos. 2.Does the buyer have a homestead to be vacated 0 Q 5.Wind Power Device for this residence?If yes,provide address: 0 (b 6.Hydroelectric Power Device Address(number and street) _-�-� 0 (2 7.Geothermal Energy Heating or Cooling Device City.state.ZIP code,and county 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 copy