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Homestead_Polk (2) H. PREPARER Preparer of the Sales Disclosure Form Title Allyn Tresenriter Escrow Officer Company Address(number and street,city,state,country,and ZIP Code) 7412 Eagle Crest Blvd Evansville, IN 47715 I. SELLER(S)IGRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Thomas R. Richardson Address(number and street) Address(number and street) 14 Fleivc‘n .pc-v--c. City,state,and ZIP Code t �� l�l City,state,and ZIP Code OW Sb u k. • Country Country US us E-mail address ( ) 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 repared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred r al property,o ' orfalsifi infor n req to be provided,commits a Level 5 felony. S nature Signature of Seller ri ame of S Ile Date signed(mm/dd/yyyy) Printed Name of Seller to signed(mm/dd/yyyy) homas R. Richardson 12/1312024 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL AV p Y Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on cony e document Y PP Y ���+ Olivia G. Polk 1 77 Address(number and street) Address(number and street 2©4Q r 1901 Orchard Road C/@Sa City,state,and ZIP Code City,state,and ZIP Code N COUA' , / 4� �/ Evansville IN 47720 T'diu Country Country US US ( ) 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 d Homestea ' 0 O 1.Will this property be the buyer's primary C] O 3. w:r:• residence? 0 0 4.Solar Energy Hee i*: .f�•• n t ystem /2. Does the buyer have a homestead to be vacated 0 0 5.Wind Power DeviceO or this residence?If yes,provide address: O C) 6.Hydroelectric Power Device Address(number and street) O 0 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county 026-/9-g •.-1O/-.00O. ,gf4.-d Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete Page 3 of 5