Homestead_Pierce H. PREPARER
Preparer of the Sales Disclosure Form y Title
Kris Coon Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave., Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conve' nce cu nt
Zheng Properties LLC
aeannichd gfcti Address(number and street)
4 061 ' %:iej
state,and Zvi?C—od City,state,and ZIP Code
w IV.Si t(K) I 0 Country Country G/e�p4Y
USA USA Oo c2
best of my knowledge and belief,is true,cofijst 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 re of S Iler Signature of Seller
Printed Name of Seller Date signed-(mm/dd/yyy) Printed Name of Seller ' Dale signed(mm/ddlyyyy)
Dale Zheng 0-(4
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR P OPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Bailee Pierce
Address(number and street) Address(number and street)
402 N Church St
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch IN 47648
Country Country _
USA USA
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary 0 G 3.Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
D v- Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) p Q 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 2 /'— 19 —
18 r 3°1_O O O'L F y -O2-G
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
5
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