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Homestead_Ross
H. PREPARER Preparer of the Sale siDiis/plo u/ree)Form�{ t© Title L-"V V a- 11, 4 / Title Company Company Address(number and street,city,state,country,and ZIP Code) 7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 I. SELLER(S)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on cony a document Pamela J.Harmon Address(number and street) Address(number and street) 324 W Walnut Street 1:44../ (7.4!:), c_ City,State,and ZIP Code City,State,and ZIP Code ,/Uj Princeton,IN 47670 C f, Count Country Gies eoz, O _ knowingly and intentionally falsi t e value of transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Signal of Seller Signature of Seller / Printed Name of S er �-/ Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) t Pamela J.Harmon 07/14/2023 07/14/2023 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 Kimberly E.Ross Address(number and street) Address(number and street) 404 W Walnut Street City,State,and ZIP Code City,State,and ZIP Code Princeton,IN 47670 Country Country certain deductions.Identify all of those that apply: ( YES NO CONDITION Y S NO CONDITION rl^ T \,} 1.Will this property be the buyer's primary 0 3. Homestead CS' `1� O residence? 0 ® 4. Solar Energy Heating or Cooling System -` O 2. Does the buyer have a homestead to be vacated 0 N 5.Wind Power Device t18k for this residence? If yes, provide address: 0 OS) 6.Hydroelectric Power Device 0 tA Ad rest um r and street) 0 N 7. Geothermal Energy Heating or Cooling Device 0 - k 1�1 Z----- 0 rStath.andCode County:l��p � Ni `--`1G9 -7C7 26-�2 d1--�o� poo .g63 _oZB Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete I, 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 'r • 4 , Via, i - 4 y V.