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Homestead_Rosenberger H. PREPARER - Preparer of the Sales Disclosure Form Title Jeffrey H.Bosse Settlement Agent Company Email Address Address(number and street,city,slate,country,and ZIP Code) 4799 Rosebud Lane,Newburgh,IN 47630 I. SELLER(S)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Eric Powell Address(number and street) Address(number and street) . 19129 Southhampton Dr. City,State,and ZIP Code City,State,and ZiP Code -4,41.1- , Evansville, IN 47725 JU Country Country /j/oy U5 best of my knowledge . ' s 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 in „N'It_ alsifies the value of transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. 00/T • Signature of Sell �_�-•--.� Signature of Seller 0,4 Printed Name of Seller Dale Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/ddlyyyy) Eric Powell 05/23/2025 05/23/2025 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 Conner Rosenberger Address(number and street) Address(number and street) 108 W. Chestnut St City,Stale,and ZIP Code City,State,and ZIP Code Franciso, IN 47649 Country Country US Email Address to apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary In 0 3.Homestead ® residence? 0 CR 4.Solar Energy Heating or Cooling System © 2.Does the buyer have a homestead to be vacated 0 t 5.Wind Power Device for this residence?If yes,provide address: 0 t 8.Hydroelectric Power Device Address(number and street) 0 al 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County 26-13-19-202-000.293-005 Syr"` J•t '� r