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Homestead_Nivens H. PREPARER Preparer of the Sales Disclosure Form Title Katie Felty Escrow Officer Company • Address(number and street,city,state,country,and ZIP Code) 7412 Eagle Crest Blvd Evansville, IN 47715 I. SELLERS)/GRANTER(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document • Trickett Properties, LLC Address(number and street) Address(number and street City,state,and ZIP Code City,state,and ZIP Code l/yi L L • D Country Country Us US APR p 99 E-mail address Telephone number E-mail address 2e eph tuber Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my know f ' true, orrect and complete as required by law,and is prepared in accordance with IC 6-1.1.5.5.A person who knowinglyQ0 kd•evalue of transferred ' real property,or omits or falsifies any information required to be provided,commits a Level 5 felony- Nry ) Signature of Seller Signature of Seller AU©iTOR Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Zerrick M. Jensen, Member 3/28/25 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 Derrick T. Nivens _ Dianna M.Nivens Address(number and street) Address(number and street) 7908 Rancho Fanita Drive Spc 63 7908 Rancho Fanita Drive Spc 63 City,state,and ZIP Code City,state,and ZIP Code Santee,CA 92071 Santee,CA 92071 .. Country Country US US • Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION O O 1.Will this property be the buyer's primary O 0 3.Homestead residence? 0 O 4.Solar Energy Heating or Cooling System O M 2.Does the buyer have a homestead to be vacated O O 5.Wind Power Device • • for this residence?If yes,provide address: O L 6.Hydroelectric Power Device Address(number and street) 0 p 7.Geothermal Energy Heating or Cooling Device • • City,state,ZIP code,and county 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 6-1.1.5.5.A person who knowingly and intentionally falsifies the value of i transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.(Note:Both spouse's Page 3 of 5 ' ,.....4., y5^ * fr.