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Homestead_Little
H. PREPARER Preparer of the Sales Disclosure Form Title Milton Norman Settlement Agent Company Address(number and street,city,state,country,and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 I.SELLERS)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on co yan d ume t Chaz M.Kenworthy Jamie M.Kenworthy Address(number and street) Address(number and street) 1098 N 450E 1098 N 450E FF� City,State,and ZIP Code City,State,and ZIP C.�.e tJ 2> Princeton,IN 47670 Princeton,IN 47670 Country Country ©„;s,-,- �0�`�c US US real ropry,or omits or falsifies any information required to be provided,commits a Level 5 felony. g ure of Seller Si rem S ler Printed me of Seller tTBte;Signed(mm/dd/yyyy) Prin Name of Seller djate' fgned(mm/dd/yyyy) Chaz M.Kenworthy OrX( 4 I7oac Jamie M.Kenworthy 0212 y '2O29- 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 Cruz Little Address(number and street)) Address(number and street) 68 W 800 S,Apt 8305 City,State,and ZIP Code City,State,and ZIP Code Fort Branch,IN 47648 Country Country US apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION ® O 1.Will this property be the buyer's primary ® 0 3.Homestead residence? 0 ® 4.Solar Energy Heating or Cooling System D 2P't5iest 'iTjer have a homestead to be vacated D ® 5.Wind Power Device for this residence?If yes,provide address: 0 ® 6.Hydroelectric Power Device Address(number and street) 0 (X 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County IS 1{ - , 0 ^ O©0.14,Cj O 2- 3 ' 4