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Homestead_Seib H. PREPARER Preparer of the Sales Disclosure Form Title Abbigail Jarvis Escrow Officer Company Address(number and street,city,state, country,and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document Tyrone Cochran Shellia Cochran Address(number and street) Address(number and street) 504 W Broadway St 504 W Broadway St City, State and ZIP Code City,State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 _ Country Country United States of America United States of America Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my know ged be ief,is tr -,correct, :n:complete as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and int do Ily f. /,ifij- the value of t': C erred real property,or omits or falsifies any information requ' t be prov' ed,commits a Level 5 felony. ' Sig ature of Se S' ature S I r ' Ile f 1� Pri d Sel er Date Signed (mm/dd/yyyy) P inted f e - Date Signed(mm/dd/yyyy) Tyrone Cochran 12/16/2024 Shellia ochran 12/16/2024 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 c /4i ji cgdocument Adam R. Seib Tiffany M. Seib ra�J �Y© Address(number and street) Address(number and street) --‹-:..„, 1426 Lark Dr. 1426 Lark Dr. 06- City, State and ZIP Code City,State and ZIP Code l 0 2O Evansville, IN 47715 Evansville, IN 47715 ,/ 24-m - Country Country United States of America United States of America SONL'O es Nivkz-j' Email Address Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of thosetpply: YES/ NO CONDITION YES_/ NO CONDITION id> 'f rgi 0 A. Will this property be the buyer's primary residence? 51 0 3. Homestead _ �❑ p� 2. Does the buyer have a homestead to be vacated for this p El 4. Solar Energy Heating or Cooling . - • if, residence? If yes,provide address: 0 El 5. Wind Power Device Address(number and street) 0 RI 6. Hydroelectric Power Device 0 El 7. Geothermal Energy Heating or Cooling Device City, State,and ZIP Code County c ^^ t,>� ` ©, +O( ca'7 0— (90r Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct,and complete