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Homestead_Shearer
H. PREPARER Preparer of the Sales Disclosure Form Title Leah Brown Settlement Agent Company Address(number and street,city,state,country,and ZIP Code) 7820 Eagle Crest Blvd,Suite 201,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 Daniel W.Wilson,as Personal Representative of the Estate of Sandra Address(number and street) ky;ISCr Address(number and street) 511 S 8th Ave City,State,and ZIP Code City,State,and ZIP Code l : Haubstadt,IN 47639 Country Country D usFL of my knows lief,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 ntlonrally falsifies the value of transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 feltAyr S+g a�tuure�of Seller ` ` _ Signature of Seller 4C/© • Printed Name o�'Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(m d/ ) j Daniel W.Wilson,Personal Representati 12/20/2024 12/20/2024 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 Karen Shearer Address(number and street) Address(number and.street)• 4401 N 4th Ave#2 City,State,and ZIP Code City,State,and ZIP Code Evansville,IN 47710 Country Country i US ( ) i t- i •.. c .- , -- ■ -• - • •o• •• • fi- I womuDyi Lwn lI scee oe