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Homestead_Wilson 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 Bethel Memorial Church, an Indiana nonprofit corporation Address(number and street) Address (number and stre 1520 S. Main St. 11,I City, �/ City, State and ZIP Code State and ZIP Code ED Princeton, IN 47670 APR Country Country y, 2 3 2024 United States of America /fj i''Y BSOH COU�Y,j' Tel one Number Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowledge and belief, is tru/JT@Qrrect 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 transferred real property, or omits or falsifies any information required to be provided,commits a Level 5 felony. Signature of Seller may_ / Signature of Seller Printed Name ofSeelllleti Date signed (mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy) Don Morrow;Chairman 4/19/2024 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 Kevin Mitchell Wilson Linda Joy Wilson Address(number and street) Address(number and street) 203 N. 5th Ave. 203 N. 5th Ave. City, State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country United States of America United States of America Email Address YES NO CONDITION YES NO CONDITION R ' ; T IZ 0 1. Will this property be the buyer's primary residence? 0 0 3. Homestead 43- 3 ❑ Ri 4. Solar Energy Heating or Cooling S to .a�' .. 0 2 2. Does the buyer have a homestead to be vacated for 0 El 5. Wind Power Device this residence? If yes, provide address: ❑ 0 6. Hydroelectric Power Device Address (number and street) 0 El 7. Geothermal Energy Heating or Cooling Device City, State,ZIP code, and county GL-Q-/I -I - 103-00D. Q Q3- OD'. Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true,correct and complete