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Homestead_Young (18)
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 IL I. SELLER(S)IGRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyan� Paul Sysol Address(number and street) Address(number and street) 20 3625 Dodgers Drive 24 City,State,and ZIP Code City,State,and le Country Evansville, IN 47725 Country SO/VCO�Q q• USA VD/7. , 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. Signal f Seller L Signature of Seller P eMt Name of Se r Date Signed(mrnIddivyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Paul Sysol July 29, 2024 July 29, 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 Cory Young Robbiccaa Young Address(number and street) Address(number and street) 2678 West Julie Drive 2678 West Julie Drive City,State,and ZIP Code City,State,and ZIP Code Princeton, IN 47670 Princeton, IN 47670 C.9• Country Country N USA USA 1n YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary 0 El 3.Homestead gQ residence? 0 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated El 5.Wind Power Device © 0 ❑ for this residence? If yes,provide address: 0 0 6. Hydroelectric Power Device 1 -.v-- Address(number and street) CV ElEl 7.Geothermal Energy Heating or Cooling Device fl 201 South Eastview Street > ` 'i�("1City,Slate,ZIP code,and County 24_ 1 - ,�_ lOf -0©3 . 9) L-oZ3- . 1 Fort Branch, IN 47648, Gibson �� 1 C?= Under penalties of perjury,I hereby 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 6-1.1-5.5.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.(Note:Both spouse's information,SSN/Driver's License/ID/Other Number is necessary only if a Homestead Deduction is being filed.) t r ' Page 3