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Homestead_Davis (33)
H. PREPARER Preparer of the Sales Disclosure Form Title Allyn Tresenriter Escrow Officer Company Address(number and street,city,state,country,and ZIP Code) 7412 Eagle Crest Blvd Evansville, IN 47715 I. SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Marc W. Waller Virginia E. Waller Address(number and street) Address(number and street) 1505 Larkinwood Lane 1505 Larkinwood Lane City,state,and ZIP Code City,state,and ZIP Code Evansville, IN 47715 Evansville, IN 47715 Country Country US US 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. Signature of Iler Signature(/ of Seller ri d a e of e er �� Date signe.../Z., d mm/dd/ Printed� (0 — 9 ( yyyy) ame of Seller Date signed(mm/dd/yyyy) Marc W. Waller 08/30/2024 Virginia E. Waller i s 0/2024 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY AL 'HAT LY ' Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance doc tx John Davis Debra Davis Address(number and street) Address(number and street) Sep 1822 Cottonwood Drive 1822 Cottonwood Drive ty '1 202/ City,state,and ZIP Code City,state,and ZIP Code �i� PrincCoueton, IN 47670 Princeton, IN 47670 GieSO � ry Country NI-y ¢end. US US AVq/'T 4iJ O YES NO CONDITION YES NO CONDITION I D O 1.Will this property be the buyer's primary O 0 3. Homestead 9.3 residence? 0 O 4. Solar Energy Heating or Cooling System J. O 2. 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 p© Addreis'l umband,stret) � /11 1 \�' �� ,...1... O O 7. Geothermal Energy Heating or Cooling Device ...7 Cit te,ZIP code,land cou Ccg fI Vc� � w �470 a�,�l -p(� �ao� ba�. 83q DES _ Und r penalties o ryrthereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete 1--- as required aw,and is prepared`'n accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of 0 Page 3 of 5 tt"-. ,1 , dl ii p\44.