Homestead_Stewart H. PREPARER •
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Preparer of the Sales Disclosure Form Title
MAN Com \ <e4- "*
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Address(number and street,city,state,country,and ZIP Code)
2301 N.Burkhardt Road,Evansville,IN 47715
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I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Shaylon Pierce
Address(number and street) Address(number and street)
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City,State,and ZIP Code City,State,and ZIP Code
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Country Country
US
Email Address
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 Leve1:5 felony,
Lignature of Seller Signature of Seller
•
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Printed Na Seller Date Signed(mm/ddlyyyy) Printed Name of Seller Date Signed(mmldd/yyyy)
Shaylon Piero- 06/28/2024 6/28/2024
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDEN?'1_Y I
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Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance d n
Kathleen Michelle Stewart ✓ /
Address(number and street Address(number and street) v` 03
�1;3 S. 1160 r �024
City,State,and P de City,State,and ZIP Ct�j
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Country Country N1-1'
C/p US '`I
Email Address
for certain deductions.Identify all of those that apply:
YES NO CONDITION ' ES NO CONDITION
�/ O residence?1•
Will this property be the buyer's primary
0 3. Homestead
J`'� 0 4.Solar Energy Heating or Cooling System
I F
I X jff 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(num r and street 0 7. Geothermal Energy Heating or Cooling Device
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c'r) City,State.and ZIP-Code, County \I \---7 —C C
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Under penalties of perjury,I eteby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
I as required by law,and is prepared in accordance with IC 6-1.15.5.A person who knowingly and intentionally falsifies the value of
c i transferred real property,or'omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
information,SSN/Driver's License/iD/Other Number is necessary only if a Homestead Deduction is being•filed). .