Homestead_Askren H. PREPARER
Pnaporerof the Sales Disclosure Form TlUo
Matthew Jarvis Escrow Officer
Company
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King JrBoulevard, Evansville IN United States of America 47713
i SELLER(G)/GR/\NTOR(S)
Seller -Nameaaitnppuarsnnoonveyancedncument Seller 2-Name aoit appears on conveyance document
Eric K8. Slone
Address (number and street) Address (number and street)
12218E150S °
City, State and ZIP Code City. State and ZIP Code
Oakland City, IN 47660
Country Country
United States nfAmerica
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the best of my knowledge and belief, is true, correct, and complete as
required by law, and io prepared in accordance with |CG4.1'5.5.A person who knowingly and intentionally falsifies the value o/transferred
real property,or nnnim or falsifies any information required on be provided,commits u Level s felony.
��i of Signature of Seller
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Printed Name of Seller Date Signed (mmmg/ mmmd0yry>
Eric M. Slone vYrv) � ''
10/15/2024 �� r
J. BUYER(S)/GRANTEE(S)-APPL|CAT|ON FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL TMAT�Pp��~
Buyer 1 -Nenno as i(appears nn conveyance document Buyer 2-Name as it appears on cy9�qyanco gno�n�sz�r
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Eri�Aohran 4
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Address (number and otreeV Address (number an st
2O7S1st �'�9SOA, '~
City. State and ZIP Code City. State and ZIP Code ~vm� �
Francisco, IN 47549 . -''O�
Country Country
United G1ateso of America
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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:
CONDITION YES NO CONDITION
1, Will this property be the buyer's primary residence? 5. Homestead
O E5 4. Solar Energy Heating orCoo|ingSystem
buyer2. Does the have a homestead °' be ,a^" e" for O Z 5. Wind Power Device
�U�srosidonoe? If provide' O B] G. Hydroelectric Power Device
(number and street) 2_6-\I- \u\ 10 2--<�00' O Z 7. Geothermal Energy Heating or Cooling Device
"'?L- �� -"�-'�� ^ D(Dq .- lnoL/ ,
CU, State, andZIP Code County
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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 .
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