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Homestead_Peyton H. PREPARER • Preparer of the Sales Disclosure Form Title Matthew Jarvis Address (number and street, city, state, country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document Charles O. Peyton Rebecca L. Peyton Address(number and street) Address(number and street) 1838 W. Burlington Place 1838 W. Burlington Place City, State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country United States of America United States of America Email Address 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. '')Figntup of Spllye f� )Sig •f Seller er7�Q p_te„....Printed/Name of Se r Date Signed (mm/dd/ Printed Name of Seller ` ,, Date Signed (mm/dd/yyyy) Charles O. Peyton YYYY) Rebecca L. Peyton 8/30/2024 8/30/2024 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 Patrick T. Peyton Kristen E. Peyton 4 Address(number and street) Address(number and street) 07 `�1: rf� 5507 E State Road 64 5507 E State Road 64 4.) /i AZ,N City, State and ZIP Code City, State and ZIP Code �" „'F('i,;y/ ';i Francisco, IN 47649 Francisco, IN 47649 y ' Country Country <V United States of America United States of America Pursuant to IC 6-1.1-12-44,the Sales Disci sure Form may be used to apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION ❑ ❑ 1. Will this property be the bu is i ry residence? El 0 3. Homestead 0 71 4. Solar Energy Heating or Cooling System 0 21 2. Does the buyer have a homestead a for 0 p 5. Wind Power Device this residence? If yes, provic dress: 0 © 6. Hydroelectric Power Device Address (number and street) Q9 0 © 7. Geothermal Energy Heating or Cooling Device G/6,Q '2' City, State, and ZIP Code 0'VQ0 c ounty J_ jj f_,10 ! ,COO, g/_pa I Under penalties of perjury, I hereby certify thaet �t �Disclosure,to the best of my knowledge and belief,is true,correct,and complete -