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Homestead_Morris (2) H. PREPARER Preparer of the Sales Disclosure Form Title Kris Coon Closing Agent Company Address(numberandstreet,city,state,country,and ZIP Code) 4600 Washington Ave.,Suite 102, Evansville, IN 47714 I. SELLERS)/GRANTOR(S) Seiler 1—Name as it appears on conveyance document Seller 2—Name as appears on cony ance document Matthew McCurley Zddr tmb rCOrd Address(number and street) Ci s to„a P Code �^ ---{ City,state,and ZIP Code 51 Country Country tiJ `b USA USA ( qR /4 1 0/6, ( ) Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge anPlUtte i e,cox ct and complete as required by law,and is prepared In accordance with IC 6-1.1.5.5.A person who knowingly and Intentio �1lisi the value of transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. SignatureHof Seller Signature of Seller 4�O/7•OR PrriinteduN"ame of Seller Date sig ed(mrn/dd/yyyy) Printed Name of Seller Date signed(mmfdd/yyyy) Matthew McCurley ©j�(a ,f2,0 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 Dale Morris 7._(nwnb ,�7reef)) �� fh Address(numberandstreet) AQ, q it en �ko City,state,and ZIP Code �"(y'S 11 I\J Country ` ( ) Pursuant to IC 6-1.1-i244,the Sales Disc sure Form may be used to apply for certain deductions.Identify all of those that apply: YES NO CONDITION YESYks/A40 CONDITION V0 1.Will this property be the buyer's primary 0 3.Homestead residence? 0 '4.SolarEnergyHeatingorCoalingSystem O Does the buyer have a homestead to be vacated 0 C�S.Wind Power Device for this residence?If yes,provide address: 0 Drr6.Hydroelectric Power Device Address(number and street) 0 rW r,Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county 0 2W -3o(,.I- oo o,�Ol - Q1K6- �- J