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Homestead_Faith 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. SELLER(S)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conve nce document Katrina M Brown1.1 Address(number and st t) Address(number and street) VState,and ZIP.Code City,State,and ZIP Code LSP.A/v',\\sZ i.: t\ tit; �/, 1 Count k Country -.( `� perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belrt ,correct,and complete as required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentlona es the value of transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. /). Signatur .of eller Signature of Seller rinted Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Da i n mm/dd/yyyy} Katrina M Brown 5 -,,--3. -e92N J. BUYER(S)/GRANTEE(S) -APPLICATION 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 Jonathan Mark Faith A dress(number and street) Address(number and street) r$32S (12 - City,State,and ZIP Code r� City,State,and ZIP Code . O(.1: ik5V i l c —N `142 4'J Country Country Email Ad ess certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary X ❑ 3. Homestead s. residence? ❑ 0 4.Solar Energy Heating or Cooling System ❑ 2. Does the buyer have a homestead to be vacated ❑ C) 5.Wind Power Device for this residence? If yes, provide address: ❑ p 6. Hydroelectric Power Device Address(number and street) ❑ O 7. Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County -rl- 2`1 - 100_o©Lt. S'32..-o21 ,