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Homestead_Berger
H. PREPARER Preparer of the Sales Disclosure Form ! Title M 0[YU G1lnI (e V\i loIS Settlement Agent v, Company ' .. Address(number end street,city,state.country,and ZiP Code) 2301 N.Burkhardt Road,Evansville,IN 47715 r - Seller 1--Nemo as it appears on conveyance document Seller Z-Name as appears on conveyance document Phillip M.Garrett Gregory L.Garrett Address(number and street) Address(number end street) 6522 Whispering Creek Dr. i 09,0 . ,,.,. rune , ,fi P/-, ,_ary City,state,and ZIP Code Clly,slate,and ZIP Code Owensville,IN 47665 /✓ Country Country US US Email 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 provldedt commits a Level 5 felony. _—: `f`alter /niureofSeher Printed Name of Seiler Date signed(mm/dd/yyyy) Printed N e of Seller Date signed(nunidd+yyyy) Phillip M.Garrett 02/27/2023 Gregory L.Garrett 2/27/2023 J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY-1;TH Y Buyer 1-Name as it appears on conveyance document Buyer 2 a Name as it appears on conveyance en • Cameron G.Berger 4141? Address(number and street) Address(number end treet) t73 2 02 4.. .., . _ City,state,and ZIP Code Clly,state,and ZIP r O Country "Ai — Country US 4tp E-mail address certain deductions.Identi all of those that a.•I YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary () 3.Homestead residence? © ® 4,Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated D M $.Wind Power Device CD 0 for this residence?If yes,provide address: 0 ® 6.Hydroelectric Power Device Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device City,slate,ZIP code,and county A6-1 - o1-(at- coo. ca _ j 2- Under penalties of perjury,I hereby certify that this Sales Disclosure,to The best of my knowledge and belief,is true.correct and complete .- t ,_ 7 • c- Page 3 of 5 .f .1 il. 11:' 4