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Homestead_McCray H. PREPARER • Preparer of the Sales Disclosure Form Title Randall W. Ewin Seller Company Address(number and street,city,state,country,and ZIP Code) 12729 E 100 S, Oakland City, Indiana 47660 I. SELLER(S)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document AdiCent Home, LLC Address(number and street) Address(number and street) 12729E 100 S City,State,and ZIP Code City,State,and ZIP Code , Oakland City, Indiana 47660 . . Country Country ( Jul. %9 2024 ! ‘ Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,corre t,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 trap (erred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. /�77z ,! ture o Se r Signature of Seller i LA''' UDITO' 1 •( U � GIBSON COUNTY A Printed Name Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Randall W Ewin, representative 7 Z 2, . J. BUYER(S)/GRANTEE(S)-APPLIC ION FOR PRO TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document Linda McCray Marlene Emmons Address(number and street) Address(number and street) 9814 E Cleveland St 9814 E Cleveland St City,State,and ZIP Code City,State,and ZIP Code Otwell, Indiana 47564 Otwell, Indiana 47564 Country Country YES NO CONDITION YES NO CONDITION © 1.Will this property be the buyer's primary O 0 3. Homestead residence? 0 O 4.Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated 0 © 5.Wind Power Device © O for this residence? If yes, provide address: O © 6.Hydroelectric Power Device Address(number and street) 0 2 7.Geothermal Energy Heating or Cooling Device 9814 E Cleveland St City,State,and ZIP Code County Otwell, Indiana 47564 Pike Q4 (tt'f J f /0(600,gc/-b 6 7 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 - Page 3 �.1. IP&.:,-i .,