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Homestead_McPeek
H. PREPARER Preparer of the Sales Disclosure Form Title Courtney Pruett Title Clerk Company Address(number and street,city,state,country,and ZIP Code) 4600 Washington Ave, Suite 102, Evansville, IN 47714 — I. SELLERS)/GRANTOR(S) Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on ey document Heidi L. Hill Address(number and street)�,// / Address(number and street) 9/7 /• 1�/ i4 fit• ,� City, fate,a -. P Co City,State,and ZIP Code 4 . ..ba Country Country Gi9S .�SD� O Email Address of my knowledge and belief,is true,Qrect,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 prope ,or omits or falsifies arty I ormatlon required to be provided,commits a Level 5 felony. Signatu of See eery ei , Signature of Seller Pripfed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Heidi L. Hill /S--22 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 conveyance document Robert Mcpeek Address(number and street) t Address(number and street) 1/4-1 F. c eJTPf ' City,State,and ZIP Code City,State,and ZIP Code <1(t4ric) C ri 1 .:-r h i I-,71 GG Country Country U 3 I Email Address ( ) Pursuant to I 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary X O 3. Homestead residence? p © 4. Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated O O 5. Wind Power Device for this residence? If yes, provide address: 0 © 6. Hydroelectric Power Device Address(number and street) p © 7. Geothermal Energy Heating or Cooling Device City,State,and ZIP Code 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 +` f �'