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Homestead_Rhoades H.PREPARER Preperer of the Sales Disclosure Form Tine Arnie Maslanka Escrow Officer Company Address(number and street,city,state,country,end ZIP Code) 5231 Oak Grove Road,Suite A,Evansville,IN 47715 I.SELLER(S)/GRANTOR(S) Seller 1-Name es it appears on conveyance document �' Roberta J.Wright Seller 2-Name as appears• ., 11 CO�' - - Address(number treat) AtcaLs. " i, Address(number and "y , City, abate,eV i �C�I iguQ - i `_C V city,state, Code ° ZO2 Country ,„try, /sso United States of America United States of J� address �'4 Telephone number u er waffles of perJgry, I hereby certify this Sales Disclosure, to the beat of my knowledge and belief, la true, correct and complete as required by law,and Is prepared In accordance with IC e-1.1.5.5.A person who knowingly and Intentionally falsities the value of transferred real property,or omits or falsifies f y info atlon required to be provided,commits a Level 5 felony. 4..g.1 re Sel r Signature of Seiler Y Printed of Seiler MirE Printed Name of Seller Date signed(mm/ddIyyyy) Roberta J.Wright �� � - 5r 10 y J.BUYER(S)/GRANTEE(S)—APPLICATION F.OR PROPERTY TAX DEDUCTIONS.—IDENTIFY AL ,ve ► PLY Buyer 1-Nome as It appears on conveyance document Buyer 2-Name as appears on conveyance document i Kaliya Rhoades Connie Ralph ` t . (number end street t Address ) Address(number and street) - cj . 102 Alabama St 102 Alabama St City,stete,and ZIP Code Princeton.IN 47870 Ctilc stPlgt tyP -Da_ —stk.. 14` i b Country Country United States of America United States of Medea YEs. NO CONDRION S NO CONDRION 0 1.W III this property be the buyer's primary residence? 3.Homestead RI 4.Solar Energy Heating or Cooling System El El Ns Does the buyer have a homestead to be vacated for 0 ` 5.Wind Power Device this residence?If yes,provide address: 0 6.Hydroelectric Power Device Address(number end street) 0 ® 7.Geothermal Energy Heating or Cooling Device City,state,end ZIP Code County %)-l - 1 0 J OC '— ! — da3,Z6s 02S . Under penalties of perjury,I hereby certify that this Sales Disclosure,to the beat 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..5. A person who knowingly and Intentionally shies the value of (j1T �, annje (Gvkct nni- viol d) C9^U age 3 ►�t�" c -S WhniI.js�lot C"si ul ; fl 11 Iron c \►J�n ` het I ,�n 4 c`lU y- � - I � _ (Arm I� I� d �inn _saw, yt f SOV)J6UC &t-x • - - l lg17 21 . 1©'.ICEc n . 0