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Homestead_Poole H. PREPARER Preparer of the Sales Disclosure Form Title MIIlon Norman _ _ __ �� _�_� _ Settlement Agent rT� _ Address(number end street,city,state,country, and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 I.SELLERS)/GRANTOR(S) Seller 1—Name as It appears on conveyance document Seller 2—Name as appears on cony e document Hunter C.Johnson Address(number and street) CrCl Address(number and street) 1:441 City,state,and ZIP Code Clly,slate,end ZIP Code qP Country ' / Country r 2Z3 US 0/e� best of my knowledge and belief,Is t and complete as required by law,and is prepared In accordance with tC 6-11-5.5.A person who knowingly and intentionally fats 41) a value of transferred real properly,or omits or falsifies any information required to be provided,commits a Love)5 felony. Sign tune of Seller Signature of Seller IPrinted�of Sell Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mmiddiyyyy) Johnson _ Hunter C. .. L 03/Y1/Yq2023 03131/2023 J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1 o Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document Breanna M.Poole Kaden M.Steinhart Address(number and street) Address(number end street) 109 W 12th St 109 W 12th St City,state,and ZIP Code City,stale,and ZIP Code Jasper,IN 47546 Jasper, IN 47546 Country Country US US : YES NO CONDITION YES NO CONDITION ® © 1,Will this property be the buyer's primary 1 D 3.Homestead residence? 0 ® 4.Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated 0 l 5.Wind Power Device 0 for this residence?If yes,provide address: 0 Gh 6.Hydroelectric Power Device Address(number and street) 0 al 7. Geothermal Energy Heating or Cooling Device City,stale.ZIP code,and county AC-(9 —($-3oz•-o co. ? i-O 2-6 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete Page 3 of 5 r ��, 'k' / L C