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Homestead_Drouillard
H. PREPARER Preparer of the Sales Disclosure Form Title Courtney Pruett Title Clerk Company Address(number and street,city,state,country,and ZIP Code) I4600 Washington Ave, Suite 102, Evansville, IN 47714 I. SELLER(S)IGRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document The Jeffrey W Rode Living Trust Address(number and street) Address(number and street) ISmo(e W)ilov)br1OK Or. City,State,and Z Code City,State,and ZIP ,o , (-t nip, 17J q/7(0r1© Country Country Email Address 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 fa shies any Information required to be provided,commits a Level 5 felony. Signatu. of Seller poe Signalure of Seller �--�- Pr' It.ar'z=of Seller Date Signed(mm/dd/yyyy) Printed Nam of Seller Date Signed(mm/ddlyyyy) Je' ey W. -ode, Co-Trustee 1Q.- 4. .'4 Kelly Dawn Rode, Co-Trustee I0'L.t( Z4 J. BUYER(S)IGRANTEE(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 Dillon Drouillard Address(number and street) Address(number and street) 710 Wilson Ave 03 cJ City,State,and ZIP Code City,State,and ZIP CodeL.t.b Princeton, IN 47670 Country Country °`/ Email Address for certain de stNlt of tttose that apply: YES NO CONDITION YES NO CONDITI CpV w O . ❑ 1.Will this property be the buyers primary le 0 3.Homestead NT1'gU 1 residence? ❑ © 4.Solar Energy Heating or Cogs rg System ?,, __ ❑ 2.Does the buyer have a homestead to be vacated ❑ © 5.Wind Power Device for this residence?If yes,provide address: 0 p 6. Hydroelectric Power Device 1 r._. I Address(number and street) Q © 7.Geothermal Energy Heating or Cooling Device 1 903 E Kentucky St (-. } City,State,and ZIP Code County q r t Princeton, IN47670 Gibson d1�\2-" g -2Oo—OO2 .\2 '� — B Q1L Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete cas 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 1 v transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.(Note:Both spouse's 4. , '-.,.6., dir ,iii tw f 4, 1 t dp Sr