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Homestead_Lamey H. PREPARER Preparer of the Sales Disclosure Form Title Leah Brown Settlement Agent Company Address(number and street,city,state,country,and ZIP Code) 7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 I. SELLERS)/GRANTOR(S) Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Wayne E.Memmer Julie A.Memmer Address(number and street) Address(number and street) 815 Highland Avenue 815 Highland Avenue City,State,and ZIP Code City,State,and ZIP Code Oakland City,IN 47660 Oakland City,IN 47660 Country Country US US (; ) 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. Si na/� Seller sty I ySi lure of Seller/ ,J/� g !/vUp-e e-- �/l'22 )-r�n.O.. / g 41/„-) Gt )Z!{X -,44 4f Printed Name of Seller Date Signed(mm/dd/yyyy) P ' ed Name of Seller Date Signed(mm/dd/yyyy) Wayne E.Memmer 08/01/2024 ulie A.Memmer 08/01/2024 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 Justin A.Lamey T Address(number and stree) Address(number and slreet)I� 1 43 i 5 N hl�ta� "��- L City,State,and ZIP Code City,State,and ZIP Code X 0 M,v,{ C;4y 1O QO AUG 0 C Country Country U 2024 US CONDITION IN1.Will this property be the buyer's primary I D 3. Homestead residence? 0 ® 4.Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated ® 5.Wind Power Device for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device Address(number and street) LI ® 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County (( 10 L`_0©1 1 ?5--—O Q 4 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete