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Homestead_Cooper (4)
911 61 ,4),a-619-0 H. PREPARER • Preparerof the Sal closure Form{ �Q�J� Title eto /`� t'1Jr?4 / Title Company Company •••- Address(number and street,city,state,country,and ZIP Code) 7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 { I.SELLERS)/GRANTOR(S) Seller 1—Name as It appears on conveyance document - Seller 2—Name as appears on conveyance document Shelley L.Earley Address(number and street) Address(number and street) 705 E Park Street City,Stale,and ZIP Code City,Slate,and ZIP Code Fort Branch,IN 47646 ZI'i - Country Country '� US OtC " penalties of perjury,I hereby certify this Sales Disclosure,to the best of my kn elief,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 a �rl ntinally(pities the value of transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 fe 4. Gyp ' Signatur of Seller Signature of Seller �,q�©/O Printed Name of Sellerri/ Date Signed(mm/dd/yyyy) Printed Name of Seller ate Signed(mm/dd/yyyy) Shelley L.Earley 121 1/2024 12/03/2024 - 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 Brit N.Cooper ,es f Address(number and street) Address(number and street) 613 Reserve Blvd 613 Reserve Blvd • City,State,and ZIP Code City,State,and ZIP Code Evansville,IN 47715 Evansville,IN 47715 Country Country US us apply for certain deductions.Identify all of those thatapply: YES NO CONDITION YES NO CONDITION 1.WIII this property be the buyer's primary L ( 0 3.Homestead 0 residence? 0 ® 4.Solar Energy Heating or Cooling System OD for Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device for this residence?If yes,provide address: 0 0 6.Hydroelectric Power Device Address(number and street) p ® 7.Geothermal Energy Heating or Cooling Device City,Stale,and ZIP Code County CNC 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 z fir, ._- -...-. ri+ t 2,igh • r T' '