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Homestead_Fromdahl (2) H: PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer i 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 conveyance document Stanley Schmidt Address (number and street) Address (number and street) 1425 Wild Dunes Ct. City, State and ZIP Code City, State and ZIP Code Winter Haven, FL 33881 Country Country United States of America Email Address Telephone Number Email Address Telephone Number 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. Signature of SellecAn (`r2A `pus Signature of Seller Printed Name of Seller Dat Sign(mm/dd/ Printed Name of Seller Date Signed (mm/ddlyyyy) Stanley Schmidt YYYY) J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY AL. PPLY , Buyer 1 —Name as it appears on conveyance document Buyer 2— Name as it appe, on �o eya i e .• .•gent Roger W. Fromdahl f Address(number and street) Address (number and street) 2150 Fosters Way,Apt 3 OCT 2 2 2024 City, State and ZIP Code City, State and ZIP Code C._.)\- Princeton, IN 47670 Country Country G/Bg0N �C" ,a United States of America COUA`71'pv�l 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 El ❑ 1. Will this property be the buyer's primary residence? 0 ❑ 3. Homestead ❑ RI 4. Solar Energy Heating or Cooling System ❑ © 2. Does the buyer have a homestead to be vacated for ❑ p 5. Wind Power Device this residence? If yes, provide address: 0 © 6. Hydroelectric Power Device Address (number and street) ❑ © 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County 'C'--(9 S--. 31 ,L.) c,d - 00 I ` . .