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Homestead_Thompson (2) H. PREPARER Preparer of the Sales Disclosure Form Title Scott Morris Escrow Agent Company Address(number and street, city,state,country,and ZIP Code) - - 4600 Washington Ave, Suite 102, Evansville, IN 47714 I. SELLERS)/GRANTOR(S) . ` f Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveys ocum Michelle R Williams Address(number and street) Address(number end street) "(.,iY _IAD MG�11�._ IA \\A . .46 City,State,and ZIP Code City,State,and ZI eiZ7 � fi_i.Qn Gp i , Z!J- t-t(2_a 6 _ . SO Country Country OG i 71/ V Email Address of my knowledge and belief,is true,correct,and complete as require b 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 pr pe or omits or falsifies any Information required to be provided,commits a Level 5 felony. Signal "r f Sell.r Signature of Seller riled Ma = of 5e'� Dale- ign mlddl yyy) Printed Name of Seller Date Signed(mrnlddlyyyy) Michelle Willis s J. BUYERS"GRANTEE(S) —APPLICA ION OR 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 Ryan M Thompson Bailey A Thompson Address(number and street •ddress(number and sire ) � City,Stale,and ZIP Code X ity.State.and ZIP Code coy M Y -- usf Email Address YES NO CONDITION YES NO CONDITION ,( 0 1.Will this property be the buyer's primary IA D 3. Homestead y°� residence? 0 © 4.Solar Energy Heating or Cooling System D 2. Does the buyer have a homestead to be vacated 0 O 5,Wind Power Device for this residence? If yes,provide address: D D 6. Hydroelectric Power Device Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device L S 4'C,4 SDB i City,State,and ZIP Code - County �, , �• cj Ir v �fi 7 ab O S -35 -L©o "©00 .6o.Z -oQ4 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 ••,r . iv r n