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Homestead_Pace H. PREPARER Preparer of the Sales Disclosure Form Title - Cody L Pruett Closing 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 conveyance document Jeffrey B. Pankake Leda D. Pankake Address(number and street) A (� Address(number and street) t; u2. S. C©0C ,- Pe- c k tiG(40.1 Code A' �76}� City,state,and ZIP Co 1-� .'Jf—lY Country Country E-mail address 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 roperty,or om orfalsifies any Information required to be provided,co, mits a Level 5 fe ny. Si Lie of Ser +(re of$el! r i d p4ame of Seller Date sig d(m d/yyyy) Printed Name of Seller Date signed(m ddl ) effrey.B. Pankake � 3 Leda D. Pankake (Q �� 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 ance document Ryan Dean Pace Address(number and street) Address(number and street) 51(t It10p-11) Ctibse LED S4 City,state,and ZIP Code City,state,and ZIP Code r'1hCNioe), 1 i 4/7670 Country JUL. 0 7 ., Gauntry (2)\\)E-mail ess to apply for certain deductions.Identify all_Airy apply: YES NO CONDITION YES NO CONDITION CD O 1.Will this property be the buyer's primary 0 0 3.Homestead residence? 0 O 4.Solar Energy Heating or Cooling System O X2. Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device for this residence?If yes,provide address: ❑ O 6.Hydroelectric Power Device Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county c6- 12-01-2--03 -coo\. 1\3 _oZs Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete