Homestead_Robinson (2) H. PREPARER
Pvepenerof the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address(number and street, city, state,country,and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
i SELLEF(S)IGRANTOR(S)
Seller 1 -Name aait appears on conveyance document Seller 2-Name oeit appears on conveyance document `
Pleasant Properties&Runtalo, LLC
Address(number and street) Address(number and street)
GO32W Old Princeton Rd.
`+~
City,State and ZIP Code City, State and ZIP Code
Owonovi||a. IN 47865
Country Country
United States ofAmerica
Email Email Address kaov Number
CP
Under penalties oy perjury,|hereby certify this Sales Disclosure,to the best ofmy knowledge and belief,is true, |eteasrequired
by|ov�and is prepared in accordance with|CV'1.1's.6.A person`whoknpw�gyand intenUnna|(yfa>oi5es the value u,F��v�urnau real propo�y.or
omits orfa|oiOoe any informaUonrequired tobopnx/ided,commits a Level 6felony.
'
�jSi cfG || ��-0
Printed
- -- Signature cfSeller
' e'of^Seller Date Signed(mm/dd/ Printed Name nfSeller Date Signed(mm/dd/yyyy)
Pleasant R.Dike,Manager yyyy) �
G/4/2D25
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY '
Buyer 1-Name aeit appears on conveyance document Buyer 2-Name osit appears on conveyance document
Sandra Sue Robinson
Address(number and street) Address(number and street)
1OGN2ndSt
City,State and ZIP Code City, State and ZIP Code
Owensvi||o. |N 47685 .
Country Country
United States ofAmerica
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deduc0ons.Identify all of those tha
YES NO CONDITION YES NO CONDITION �-
0 [] 1. Will this property be the buyer's primary residence? 0 [] 3' Homestead �
O - GO 2' Does the buyer have m homestead tobe vacated for O 0 4' Solar Energy Heating orCooling ym'��~~m� .*+
this residence? |f yes, provide address: O 25. VWndPower Device 41���
O 06' Hydnno>oc�rio Power Device
Addraao(numberandobee�) �
O RI 7. Qeothernno| Energy Heating mr Cooling Device
City, State,and ZIP Code County � L - \�-�� _��� _���_ | U _0 32