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Homestead_Wood
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 Patrick T. Peyton Kristen E. Peyton Address(number and street) Address(number and street) 5507 E SR 64 5507 E SR 64 City, State and ZIP Code City, State and ZIP Code Francisco, IN 47649 Francisco, IN 47649 Country Country United States of America United States of America Email Address Email Address Under penalties of perjury, I hereby certify 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 transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. •Xignature ofie r Sig ure of 4 Printed Name of Seller Date Signed (mm/dd/ Prin d Name of Seller ate Signed(mm/dd/yyyy) Patrick T. Peyton YYYY) Kristen E. Peyton 7/12/2024 7/12/2024 J. BUYER(S)/GRANTEE(S)—APPLIC'y.. 0 9- ti > TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY Buyer 1 —Name as it appears on conve}: c= ••:,u e t i • Buyer 2—Name as it appears on conveyance document Danny Wood Jill Aldridge ft Address (number and street) JUL 19 2024 Address (number and street) 'oe vcr e , '`i City. State and ZIP Code City, State and ZIP Code `^��" a. `' , IN , IN s ' CountryGIBSON COuN I Y AUDITOR Country United States of America United States of America Email Address YES NO CONDITION YES NO CONDITION RI Will this property be the buyer's primary residence? 0 ❑ 3. Homestead ❑ © 4. Solar Energy Heating or Cooling System El2. Does the buyer have a homestead to be vacated for ❑ p 5. Wind Power Device this residence? If yes, provide address: ` ❑ © 6. Hydroelectric Power Device Address (number and street) ❑ © 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County a// / ! D /; / 0 Under penalties of perjury, I hereby certify that 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