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Homestead_Cockerham-Willis 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 I. SELLER(S)/GRANTOR(S) :s Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on cony`--nc:.of j ment Ocin Investments LLC Address(number and street) Address(number and street) .;; 253 North Main Street City,State,and ZIP Code City,State,and ZIP Cade 9 Oakland City, IN 47660 4t0 0 CounUSA try Country GeSQ4 CO Q 4(/G� Q/7Q 1 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. Signa ure of Seller - Signature of Seller nnted Name o er Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Nicholas Schaefer,Member 8/26/2024 8/26/2024 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 Caleb Cockerham-Willis Elisa Cockerham-Willis Address(number and street) Address(number and street) 518 West Columbia Street 518 West Columbia Street City,State,and ZIP Code City,State,and ZIP Code Oakland City, IN 47660 Oakland City, IN 47660 Country Country USA USA _ YES NO CONDITION YES NO CONDITION r 1.Will this property be the buyers primary 00 3. Homestead ❑ I residence? ❑ 0 4.Solar Energy Heating or Cooling System . Does the buyer have a homestead to be vacated ❑ 0 5.Wind Power Device nXr this residence? If yes,provide address: ❑ ❑X 6.Hydroelectric Power Device Address(number and street) ❑ ❑X 7.Geothermal Energy Heating or Cooling Device City,State,ZIP code,and County PC- iti,- Is -301- 000.ct0� -0©1- 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