Homestead_Bare H. PREPARER
Preparer of the Sales Disclosure Form Title
i
Amy B. Pollard Settlement Agent
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 conveyance document
Peppers Investments,LLC i
Address(number and street) Address(number and street) I-)
320 S Gibson Street
i
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670
Country Country
US
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.
Si nature o Sent r Signat_ur,�of Selle
Printed Name of S ler� Date Signed(mm/dd/yyyy) Printed Na o ell r Date Signed(mm/dd/yyyy)
Kala Pepper, 01/10/2024 MOIc 4tA I L C( 01/10/2024
J. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX EDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1 —Name as it appears on conveyance document I Buyer 2—Name as it appears on conveyan cument
Tracy Logan Bare
Address(number and street) Address(number and street) ({
4
9613 Wabash 10 Ave
City,State,and ZIP Code City,State,and ZIP Code 144
/ 4,4?)
Mount Carmel, IL 62863 f
Country Country
C/
US eS0 — 7
for certain deductions.Identify all of ttapply:
YES NO CONDITION Y NO CONDITION ��/
El 1.Will this property be the buyer's primary S 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
�b-IL - o l --1\01 - 0 0 ,6 2+ -02_3