Homestead_Truitt H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street,city,state, country, and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
1. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on convPit
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SOUTHERN INDIANA HOME INVESTMENTS, LLC
Address(number and street) Address(number and street) v` ,
2736 S 300 West 2
City,State,and ZIP Code City,State,and ZIP Cd_ • Owl
Washington, IN 47501-7418 0'' " \
Country Country 04,COS (---()\
E-mail Address
Under p nalties perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is true, correct and complete as
requiled by law, nd is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
reai.prcperty,o omits or falsifies any information required to be provided,commits a Level 5 felony.
Si na r er ^� Signature of Seller
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ed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
ANTHONY LENGACHER,Member/Office September 26, 2023 September 26, 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
ZACHARY A. TRUITT
Address(number and street) Address(number and street)
118 W Dale Street
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660-1724
Country Country
deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Li residence?
Wit this property be the buyer's primary [� ❑ 3. Homestead
residence? ❑ 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ❑ 5.Wind Power Device
0 �, for this residence? If yes, provide address: 0 6. Hydroelectric Power Device
Address(number and street) ❑ 7. Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County
-30Lkn01 . 23q —0G
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete~,
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
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