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Homestead_Rea H. PREPARER Preparer of the Sales Disclosure Form Title Kris Coon Address(number and street,city,stale,country,and ZIP Code) 4600 Washington Ave., Suite 102, Evansville, IN 47714 I. SELLERS)/GRANTOR(S) , Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on co emit ocum t Da Xiang Zheng Address(number and street) Address(number and street) i©1 SA'. S�S r e� _ �0V ?D City,state,and ZIP Code City,state,and ZIP Co e 7i yc ��.r1 -bn i1Ail u�67o < • Country Country 0/E3 USA USA SC)N CO Cz 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 Se�r Signature of Seller AC"' Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Da Xiang Zheng ((- 1 Z- Z`{ 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 Kenneth Dwight Rea Amanda Marie Rea A dt r is um MeQ Address(number and street) C ¢ " Ug i V Y Ci late,and ZI Code City,state ) TnnC� \ )N 4 ILQ1 O Country Country USA USA YES , NO CONDITION YEV NO CONDITION �// O 1.Will this property be the buyers primary V5 O 3.Homestead re ' ence? O '_g/ 4.Solar Energy Heating or Cooling System O 2.Does the buyer have a homestead to be vacated 0 1-4 5.Wind Power Device for this residence? If yes,provide address: 0 ri/ 6. Hydroelectric Power Device Address(number and street) 0 L/7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county ( ` 'l — 01 3 o4 — 000, La— —Q 22W 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 & . -- Page 3 of 5