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Homestead_Gibbs H. PREPARER Preparer of the Sales Disclosure Form Title Haley Smith Escrow Officer Company Address(number and street,city,state, country,and ZIP Code) 7412 Eagle Crest Blvd Evansville, IN 47715 I. SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document William J. Dietsch Address(number and str t) Address(number and street) \f)1.tiO \ , \1•14 A e •v ‘5 . r5 City,state,and ZIP Code City,state,and ZIP Code 'ave"s 3`\\\Z - -N Ll-- \0 Country Country US US E-mail a dress knowledge and belief,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 and intentionally falsifies the value of transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. ignatureof [ � � Signature of Seller Fi nted Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller a (mm/dd/yyyy) L William J. Dietsch 1/17/2025 � J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDEA TAAI��FY ALL THAT APPLY s 6r1 Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appear (16nt e0n �j ument Isaac Forrest Gibbs Emily Jane Gibbs .....y �'I' Address(number and street) Address(number an et) 5301 Vans Drive 5301 Vans DriveG/9SnC.P. Evansville,City,state, IN 47720 Evansville IN 47720 Nd ZIP Code City,state,and ZIP Code COUNTMAUO/p Country Country US US YES NO CONDITION 7 NO CONDITION (7 1.Will this property be the buyer's primary 0 3. Homestead ❑ residence? 0 i 4.Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device 0 for this residence? If yes,provide address: ❑ 0 6. Hydroelectric Power Device Address(number and street) 0 f I 7.Geothermal Energy Heating or Cooling Devi, S3) I VCt�4 6Y �� City V 0"S v1� !e,ZIP code, county!� lL9n 3-0 _jq-a ` 86o -©60. /c - L' 2G Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best 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.A person who knowingly and Intentionally falsifies the value of �` `� Page3of5