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Homestead_Doane
H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company 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 conve ance document Brandon J. Roberts Address(number and street) Address(number and street) 801 Creek Dr. City, State and ZIP Code City, State and ZIP Code S'F� Fort Branch, IN 47648 �,�� j 1,) ' ,44?) to Country Country S'O e0 United States of America 1 • Email Address ,� it&N., Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief, is true,coct,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. . Sig t Seiler Signature of Seller Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy) Brandon J. Roberts YYYY) 9/4/2024 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 Paul E. Doane Linda L. Doane Address(number and street) Address(number and street) '~ .,F 801 Iroquois Dr 801 Iroquois Dr ' g . ,, City, State and ZIP Code City, State and ZIP Code '„.v Fort Branch, IN 47648 Fort Branch, IN 47648 Country Country United States of America United States of America Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply: • YES NO CONDITION YES NO CONDITION j © 0 1. Will this property be the buyer's primary residence? El 0 3. Homestead ) 0 El 4. Solar Energy Heating or Cooling System ( El 0 2. Does the buyer have a homestead to be vacated for ❑ p 5. Wind Power Device ? this residence? If yes, provide address: 0 p 6. Hydroelectric Power Device t Address(number and street) 0 © 7. Geothermal Energy Heating or Cooling Device K0 801 Iroquois Dr City, State, and ZIP Code County ,� �y t E. Fort Branch, IN 47648 Gibson --� (ci�.1 LS '"-2- _..)-co t .t�z [ "'n L Q 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 transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's information,SSNIDriver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.) )(