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Homestead_Caril H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company Address (number and street, city, state, country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document Steve J.Fithian Address (number and street) Address (number and street) 8165 5.600 W. .44:4" () City, State and ZIP Code City, State and ZIP Code Owensville, IN 47665 446_A Country Country ✓041 United States of America E-mail address best of my knowledge and be i 4CLi r orrect and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionatN s the value of transferred real property, or omits or falsifies any information required to be provided,commits a Level 5 felony. et)., XSign.pof e ofordij -r Signature of Seller OR Pri ed Na •f Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/ddt g 9 YYYY) Steve J. Fithian 6/9/2023 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 llvaqui Caril Address (number and street) Address (number and street) _ 430 S Seminary St. City, State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Country Country United States of America E-mail address Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all des+gose that apply: YES NO CONDITION YES NO CONDITION `, El 0 1. Will this property be the buyer's primary residence? El ❑ 3. Homestead VI: 0 RI 4. Solar Energy Heating or Cooling Sys e.,L9 0 © 2. Does the buyer have a homestead to be vacated for 0 El 5. Wind Power Device { .Y this residence? If yes, provide address: 0 0 6. Hydroelectric Power Device Address (number and street) 0 El 7. Geothermal Energy Heating or Cooling Device City,State,ZIP code,and county P -t-D-07- 1/03- t a0. ?77- oag Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete