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Homestead_Saliju (3)
H. PREPARER Preparer of the Sales Disclosure Form Title Milton Norman Settlement Agent Company E-mail address Address(number and street,ally.state.country.and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 I.SELLER(s)/GRAwrOJ (s) Saner 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Korey J.Lamb Address(number and street) c` Address(number andstraef) .,P14., * . • • �D7 O\e n •?\- ' City,state,and ZIP Code , Clty,state,and ZIP Code wc,4 Fort Branch,IN 47648 Country Country <7 US lei E-mail address best of my knowledge and bell ja . and complete as required by law,and is prepared in accordance with IC 6-1.1.5.5.A person who knowingly and Intentionally ' value,oftransferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. 04, . Signature of er Signature of Seiler -, Printed Name oWeller — Date signed(mmldiily+jyy) Printed Name of Seller r• - : .y;:, mmiddlyyyy) Korey J.Lamb 05/16/2023 ; - J. BUYER(SYGRANTEE(s)-APPLICATION FOR PROPERTY TAX DEDUCTIONS..-IDENTIFY ALL THAT APPLY r-�• Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears an conveyance document Florent Saliju Arjeta Saliju • ct Address(number and street) Address(number and street) 2c"1 S `Zo\\ .,,_, \ 915 Chickasaw Dr City.state.and ZIP Code V Clty,state.and ZIP Code Fort Branch,IN 47648 Fort Branch, IN 47648 v Country Country • US US `9 • 'I.Will this property be the buyers primary ® 0 3.Homestead o ®. ❑ residence? ❑ CX 4.Solar Energy Heating or Cooling System O . t 2.Does the buyer have a homestead to be vacated • 0 GI 5.Wind Power Device R 0 ❑ for this residence?If yes,provide address: © (2 6.Hydroelectric Power Device no Address(number and street) (� 0 - © ® 7.Geothermal Energy Heating or Cooling Device (- ,state.Zip code,'and county. 6 26 -1Ct^`•8 ''3'0 3 - 000. G -`_ 02(, • I Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and beliefs is true,correct and complete Nan required by law,and is prepared In accordance with IC 0-1.1.5,5.A person who knowingly and Intentionally falsifies the value of transferred real property,or emits or falsifies any Information required to be provided,commits a Level 5 felony.(Nose:Both spouse's Pv'