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Homestead_Sapp H. PREPARER Preparer of the Sales Disclosure Form Title Kandace Rogers Closing Agent Company Address(number and street,city,state,country,and ZIP Code) 4905 Theater Drive, Evansville, IN 47715 I. SELLER(S)/GRANTOR(S) 1 Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on nv�a doc t David Arbuthnot Address(number and street) Address(number number and street)1001 West Mill Road Ad City,State,and ZIP Code City,State,and ZIP ••e 4 9 Evansville, IN 47710 0 USACountry Country C/eSONCO/, 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 transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Sign a of Seller /; / Signature of Seller e..6 .76Rs,- Printed Name of Seller Date Signed(mm/Gdiyyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) David Arbuthnot 5/9/2024 5/9/2024 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 Hayley Sapp Address(number and street) Address(number and street) 6214 South 175 East City,State,and ZIP Code City,State,and ZIP Code Fort Branch, IN 47648 Country Country USA apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary ❑X El 3.Homestead ❑ residence? ❑ 0 4.Solar Energy Heating or Cooling System 2.fo Does the buyer have a homestead to be vacated ElX❑ 5.Wind Power Device ❑ r this residence?If yes,provide address: ❑ ❑X 6.Hydroelectric Power Device Address(number and street) ❑ Q 7.Geothermal Energy Heating or Cooling Device City,State,ZIP code,and County 2 ) a -09 -Soo -00o .o8bro2s- 3 f,r-41 p ,� I,'.