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Homestead_Smith (25)
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.SELLER(S)/GRANTOR(S) Seller 1—Name as It appears on conveyance document Seller 2—Name as appears on conveyance document Ryan W.Bruner Jennifer L.Bruner Address(number and street) Address(number and street) 404 E.Vine St 404 E.Vine St. City,State,and ZIP Code City,State,and ZIP Code Fort Branch,IN 47648 Fort Branch,IN 47648 Country Country US US Email Address real property,or omits or falsities any Information required to be provided,commits a Level 5 felony. Signature of Seller Ignature of Severtll1 - Printed Name of Seller Date_Signed(mm/dd/yyyy) 'nted Name![Seller Date Signed(mm/ddlyyyy) Ryan W.Bruner ) / co,/ z 1— Jennifer L.BnYner `5 - (p -020Q,� 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 appearsrre ce cument Dalton A.Smith 11 Address(number and street) Address(number and street) 105 S.Main St. City,State,and ZIP Code City,State,and ZIP Code Fort Branch,IN 47648 MAR 1 1 2025 Country Country US Email Address for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION ® 1.Will this property be the buyer's primary ( 0 3.Homestead residence? 0 Et 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device for this residence?If yes,provide address: 0 l 6.Hydroelectric Power Device Address(number and street) 0 NI 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County 1.6-' l y� _ 3 0 3_Goo. l©I _ 02,6