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Homestead_Rode (2)
H. PREPARER Preparer of the Sales Disclosure Form Title Jamie E.Smith Escrow Officer Company Address(number and street,city,state,country,and ZIP Code) 101 Plaza East Boulevard, Suite 102, Evansville, IN 47715 I.SELLERS)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears o onveyance document The Estate of Robert C,Wallis, Deceased Address(number and street) Address(number and stye 2762 North 775 East City,State,and ZIP Code City,State,and ZIP Code Francisco, IN 47649 q(/G� Country Country 2<VA - E-mail Address - $' Nr'"d,- Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is ir et and complete as required by law,and is prepared in accordance with IC 8-1.1-5.5.A person who knowingly and Intentionally faieill a value of transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony, Signs re of Seller Signature of Seller Prir ed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Ma h .Rode, Executor June 17, 2024 June 17, 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 Jeffrey Wayne Rode Kelly Dawn Rode Address(number and street) Address(number and street) 1506 Willowbrook Drive 1506 Willowbrook Drive . City,State,and ZIP Code City,State,and ZIP Code pj Princeton, IN 47670-3353 Princeton, IN 47670-3353 ,��"r Country Country 0 ( I E-mail Address mail Address NYES NO CONDITION YES NO CONDITION p 1.Will this property be the buyer's primary "Er ❑ 3."Homestead O L�J ❑ residence? ❑ Q' 4.Solar Energy Heating or Cooling System t p Er 2.Does the buyer have a homestead to be vacated 0 Er 5.Wind Power Device 3 ❑ for this residence? If yes,provide address: ❑ (( 6.Hydroelectric Power Device Address(number and street) ❑ 7.Geothermal Energy Heating or Cooling Device 0© 1-10 VA,s 4-A-- CD Aity,State,ZIP code,and County tII r11ncJkw\ t Iti LPG qb Qt_O - l a.-0 fa^ Lilo Q-00(4.34y,-moo `, (NJ 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 ktransferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's Information,SSN/Drlver's LJcense/ID/Other Number is necessary only If a Homestead Deduction Is being filed.) ,� _. Page 3