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Homestead_Adams (10) 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 Nina Jean Holderbaugh Sharon Elaine Williams Address number and street)tr Address(number and_street) _ � LP S. L=t t hS 0,,,N �� S t1-3- City state,and ZIP Code City,state,and ZIP Code '- -'1 e k c n,:� tit—A-6. -O kdr-A- Q3 clAALL. t "V 14-* 4 Country Country US US 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. i re QLSel p Sig lure of Seller Prerz- ted Name f eller D signed(mm/dd/yyyy) e ame of a er Date signed(mm/dd/yyyy) ma Jean olderbaugh 2� /2025 Sharon Elaine Williams zia 2/3/2025 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 Sheila Adams 111LEDAddress(number and street) Address(number and street 1620 West Tulip Blossom Lane City,state,and ZIP Code City,state,and ZIP Code Princeton, IN 47670 ` Country Country FEB 0 5 2025 A US US c ' ' I for certain deductions.Iden? / lT/ 5f4 'r • J . apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary O 0 3. Homestead O O residence? 0 0 4.Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated D 0 5.Wind Power Device D for this residence?If yes,provide address: p Q 6.Hydroelectric Power Device Address(number and street) 0 11 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county X' I Z— 01- — LI — ©()3. C3 0 — d 2 ✓ ' „' J