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Homestead_Serrano H. PREPARER Pre@r of the Sales Disclosure Form Title �rFl i{V.it�.C. S • i-(A -' 41-' Settlement Anent Company Email Address Address(number and street,city,state,country,and ZIP Code) 2301 N.Burkhardt Road,Evansville,IN 47715 i.SELLER(S)IGRANTOR(S) I Seller 1--Name as it appears on conveyance document Seiler 2-Name as appears on cone d Patricia Gasca Address(number and skeet) Address(number and street) 219 S.Gibson 4P i City,Slate,and ZiP Code City,Stale,and ZIP Code 2y �J i Princeton,iN 47670 - ?� Country Country Q/eSC `� US 41 Email Address 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. pignalure of Seller - Signature of Seller a�vaa � 5Co. Printed Name of Seller 'Mate Signed(mmlddtyyyy) Printed Name of Saler Date Signed(mtmfddlyyyy) Patricia Gasca • J. BUYER(S)/GRANTEE(S)-APPUCATION 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 Kristen N.Serrano Address(number and street) Address(number and skeet) 220 W.Garfield Ave. City,State,and ZIP Coda City,State,and ZIP Code Princeton,IN 47670 Country Country us apply for certain deductions.identify ail of those that apply: YES NO CONDITION Ir. NO CONDITION © 1.Will this property be the buyer's primary 0 3.Homestead residence? 0 iD 4.Solar Energy Heating or Cooling System a ® 2.Does the buyer have a hornestead to be vacated Q ( 5.Wind Power Device for this residence?If yes,provide address: © IA 6.Hydmetechic Power Device Address(number and street) a ® 7.Geothermal Energy Heating or Cooling Device City.Slate,and ZIP Code County -IL-p7 - Under penalties at 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 6-1.14.5.A person who knowingly and intentionally falsifies the value of 3 ✓ 11,„