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Homestead_Scales
• H. PREPARER ` Preparer of the Sales Disclosure Form Title Jamie E Smith Escrow Officer Company Address(number and street,city,state,country,and ZIP Code) 101 Plaza E Boulevard,Suite 102, Evansville, IN 47715 I.SELLERS)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears t" <sn y document Southern Indiana Home Investments, LLC Address(number and street) Address(number and street) 2416 Shannon Street .4674' City,State,and ZIP Code City,State,and ZIP Code DE fj *) Washhington, IN 47501 r!' Country Country �0�4 Gigs — • Email Address Nn,1 ( ) Un. aides perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is G ct,and complete as require by law, die prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally falsi a value of transferred re I pr Its or falsifies any Information required to be provided,commits a Level 5 felony. S n Signature of Seller P' ame of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mmldd/yyyy) An ony Lengacher, Member 09/06/2024 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 Robert G. Scales,Jr Address(number and street) Address(number and street) 410 E Elm Street City,State,and ZIP Code City,State,and ZIP Code ' ,T'>. Oakland City, IN 47760 ' ¢ Country Country k�e` y apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary O 0 3.Homestead 2 0 residence? 0 p 4.Solar Energy Heating or Cooling System Cty 0 2.Does the buyer have a homestead to be vacated 0 © 5.Wind Power Device for this residence? If yes,provide address: 0 © 6. Hydroelectric Power Device Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device City,State,and ode Count yr / -'11_1 _3 03-0 0 i .30 Q-O Q p w C+'i/ ,-� y 7 6"?© b Un r 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