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Homestead_Smith (88) H. PREPARER Preparer of the Sales Disclosure Form Title Kris Coon Closing Agent Company Address(number and street,city,state,country,and ZIP Code) 4600 Washington Ave., Suite 102, Evansville, IN 47714 I.SELLERS)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Audrey R.Jones Austin W. Bond Address(number and street) Address(number and street) 4985 Indiana 264 201 Elm St. City,state,and ZIP Code City,state,and ZIP Code Ferdinand IN 47532 Owensville IN 47665 Country Country USA USA 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 6-1.15.5.A person who knowingly and intentionally falsifies the value of transferred real property,or Its or falsifies any Information required to be provided,commits a Level 5 felony. ignatu/e f eU . �� Si alure of eter -n e Nam f eller Date signed(mm/dd/yyyy) anted Name of Seller Date signed(mm/dd/yyyy) Audrey R. Jones Austin W. Bond 05/0 T/ cpz5 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 a ante document Summer Smith Address(number and street) Address(number and street) 304 East Indiana Street LED City,state,and ZIP Code City,state,and ZIP Code Princeton IN 47670 • If,4y 13 Country Country 2025 USA USA for certain deductions.Ident` t apply: YES NO CONDITION YES NO CONDITION riOp O O 1.Will this property be the buyer's primary O 0 3. Homestead residence? ❑ O 4.Solar Energy Heating or Cooling System 0 /Does the buyer have a homestead to be vacated ❑ O 5.Wind Power Device for this residence? If yes,provide address: 0 11 6.Hydroelectric Power Device Address(number and street) 0 p 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county `Al 1:-IS --2- 1 - oo2.' -)11 - 02g . t , s•