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Homestead_Braden ..H. PREPARER • ' : : • . • • Preparer of the Sales Disclosure Form Title Haley Smith Escrow Officer Company Address(number and street,city,state,country,and ZIP Code) 7412 Eagle Crest Blvd Evansville, IN 47715 1.,SELLER(S)/GRANTOR(S)` . ' Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document C&K Partnership, L.P. Address�(number an�treet) � �� ��i Address(number and street) 55d1 tK+'h •O1.- Vh. City,s and ZIP Co t City,state,and ZIP Code Country Country US US E-mail address i A ofbest Of my knowledge and belief,Is true;.correct and complete:as required,by law; nd is,prepa,•d In accordance with IC.6=4.1-5:5:A person who_knowingly and intentionally falsifies the value of transferred 'real•property;,or omits:or fal a ies any.information required to be provided;commits a Level.5 felon ::: - `-- ` gna •, 'f<';eller �,'' Si•nature of Seller P ted Name of Sel r— —:•;`d(trim..., ,::::10,vPrinted Name of Seller Date signed(mm/dd/yyyy) Chris A. Ramsey, Partner 5/12/202 .J•BUYER(S)/GRANTEE(S)=APPLICATION;--•- ''OPERTY TAX•DEDUCTIONS-IDENTIFY Ai T Buyer 1-Name as it appears on conveyance doc,'`- Buyer 2-Name as it appears on conveyance e t Marcia Braden I� Address(number and treet) Address(number and street) ��` / S golf E•.G rk. 5/_ 101 City,state,and ZIP Codee y City,state,and ZIP Cocf • QLd- -.i��i Ile .1-1�� LL kp(Of ON C Q �/ Country Country CV,v7),"�!^ US US q(/-y,) E-mail address ( ) •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 1.Will this property be the buyer's primary O O 3. Homestead residence? 0 p 4.Solar Energy Heating or Cooling System O 2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device for this residence? If yes,provide address: 0 O 6. Hydroelectric Power Device Address(number and street) 0 D 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county aolk-o-1-10t-000,oloLA-Cam Under penalties of perjury,I hereby-certify.that•this Sales:Disclosure,to the best of my knowledge and:belief,.Is:true;correct and complete• ' 3 of 5 ' ' } 4 f (�