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Homestead_Boes
H. PREPARER Preparer of the Sales Disclosure Form Title Amy B.Pollard i Settlement Agent Company Address(number and street,city,state,country,and ZIP Code) 7820 Eagle Crest Blvd,Suite 201,Evansville, IN 47715 I. SELLERS)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Robert A.Ward Jaclyn A.Ward l Address(number and street) Address(number and street) 11292E 700 S 11292E 700 S City,State,and ZIP Code City,State,and ZIP Code Lynnville,IN 47619 Lynnville,IN 47619 Country Country US US - � Under penalties of perjury,I hereby certify this Sales Disclosure,to the be of my knowledge and be ,is true,correct,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 property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Signature of Seller ' ature of Seller — , ^', E Pr' inted Name of Seller \ Date Signed(mm/dd/yyyy) Pr -j Name of , Iler Date Signed(mm/dd/yyyy) Robert A.Ward 05/26/2023 Jaclyn A.Ward 05/26/2023 J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY L THAT APPLY Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conve a ent Nathan J.Boes ( Address(number and street) Address(number and street) / , 1392 W Cloverdale Ct ... -D City,State,and ZIP Code City,State,and ZIP Code JU/V Haubstadt,IN 47639 C 20�3 Country Country U5 Gle$n NCO(/Q deductions.Identify all of those that a�ply: YES NO CONDITION YES NO CONDITION ® ❑ 1.Will this property be the buyer's primary N ❑ 3. Homestead residence? ❑ N 4. Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated ❑ N 5.Wind Power Device for this residence? If yes, provide address: ❑ N 6.Hydroelectric Power Device Address(number and street) ❑ N 7. Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County -7-0-13-242)0— ©IQ 2_ 062 -00I Under penalties of 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 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's 3 ..:.a. . t