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Homestead_Myers
H. PREPARER ...., - 1 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. SELLERS)/GRANTOR(S)_, ___ —,— _- ____ ._-— ---- ___ — Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Thomas P.Dickerson Julie A.Dickerson Address(number and street) Address(number and street) 6930 N Mesa Lake Drive 6930 N Mesa Lake Drive City,State,and ZIP Code City,State,and ZIP Code Mount Carmel,IL 62863 Mount Carmel,IL 62863 Country Country US US -/. et Under penalties of perjury,I hereby certify 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 transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Signature of Sell r lee of Seller / f , Printed NSm 4f'Se er Date '•ned(mm/dd/yyyy) Pri Name of1eller Date Signed(mm/dd/yyyy) Thomas P.Dickerson 02/1. r r-, r Julie A.Dickerson 02/05/2025 J• BUYERS)/GRANTEE(S)-APPLICA •e N (� *"f`RO' ' " DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1—Name as it appears on conve document = ;_.-r 2—Name as it appears on conveyance document Austin T Myers (� FCn Megan Myers { Address(number and street) .,,. GGi i , 2O Address(number and street) 8766 S State Road 65 iC,� 8766 S State Road 65 City,State,and ZIP Code / ' City,State,and ZIP Code Owensville,IN 47665 C'/gSQfv Q / Owensville,IN 47665 Country CO/N Ar.41 Country US ` YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary ® 0 3.Homestead Cgl 0 residence? 0 ® 4.Solar Energy Heating or Cooling System r.-1 ® 2.Does the buyer have a homestead to be vacated 0 (25.Wind Power Device for this residence?if yes,provide address: 0 @ 6.Hydroelectric Power Device Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County , • .4- -- OtlOt —©0 _o6 ' — 021 . 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 6-1.15.5_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.(Note:Both spouse's Page 3ri. fi d Js .