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Homestead_Knust H. PREPARER Preparer of the Sales Disclosure Form Title Kris Coon Closing Agent Company Address(number and street,city,state,country,and ZIP Code) 4600 Washington Ave., Suite 102, Evansville, IN 47714 I SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on convey oc e Tyson J. Livermore Address(number and street) Address(number and street) - v,t) City,state,and ZIP Code City,state,and ZIP Code ✓44 , USAtry USAF C/ Sp S?025 41(j.:rr Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,corrbLaVdmplete as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the vai(Mof transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Signature of Seller Signature of Seller Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Tyson J. Livermore 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 Kaleb Ryan Knust / ¢faS3i(nKnreq st et - l/J,r‘...... Address(number and street) C i r fe,and ZICode `_ �4 r 4� ( l City,state,and ZIP Code Country V r V �/ ICou try SA USA \�{ for certain deductions.Identify all of those at a YES O CONDITIONier Is.",NO CONDITION t>� 1.Will this property be the buyer's primaryI-J �/ 3.Homestead �/► residence? 0 C�7,/'4.Solar Energy Heating or Cooling System 1' +/2.Does the buyer have a homestead to be vacated 0 �'7 5.Wind Power Device 4 O for this residence?If yes,provide address: p ,/)e1ydroelectric Power Device Address(number and street) 0 •Q 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county '2-6-1 l l - 1 2 '0? -op I . (,3 2-0 2-B \..../