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Homestead_Russell H. PREPARER Preparer of the Sales Disclosure Form ' Title Allyn Tresenriter Escrow Officer Company Address(number and street,city,state, country, and ZIP Code) 7412 Eagle Crest Blvd 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 Trey D. Staples Sydney J. Staples Address(number an s eet) Address(number andNcJ ) ��I© I 1 _ M4 S • 101 F._ ' - City,state,an ." t if J . / r A City state,aryl Z .Code Tii 4 Country Country US US E-mail addre l 14 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 ir al property,or omits or falsifies any information required to be provided commits evel 5 felony. nature of S r Si nature of S 1 n f i ed Na e of Se r ate signed(mm/dd/yyyy) r ted Name of Seller ate igned(mm/dd/yyyy) Trey D. Staples 5/31/2024 Sydney J. Staples 5/31/2024 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 Taylor S. Russell Carlee J. Russell Address(number and street) Address(number and street) 2253 East Oregon Street 2253 East Oregon Street City,state,and ZIP Code City,state,and ZIP Code Evansville, IN 47711 Evansville, IN 47711 Country Country US US YES NO CONDITION YES NO CONDITION O O 1.Will this propert h use primary CIO 3. Homestead r idence? '� 0 O 4. Solar Energy Heating or Cooling System • e 2. Does the buyer ve a homed To�be vacated 0 O 5.Wind Power Device 0 for this residence? If yes, ,e address: ��`*`�"' 1P O O 6. Hydroelectric Power Device •cOAddress(number and street) 1PvviN O O 7. Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county ��G��� O,S Under penalties of perjury,I hereby certify out 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 Page 3 of 5