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Homestead_Alvey IV H. PREPARER Preparer of the Sales Disclosure Form Title Escrow Officer Matthew Jarvis 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. 5ELLERtS)IGRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document RHoldings LLC,an lowal limited liability Company Address(number and street) Address(number and street) 304 Cedar Lane Dr City,State and ZIP Code City,State and ZIP Code Belton,SC 29627 ' Country ountry United States of Ameriq Telephone Number Email Address . of my knowledge and belief,is true,correct,who knowingly and intentionally falsifies the value of traand nsferred(ete as real property,or by law,and Is prepared in accordance ' • Pe omits or falsifies any information, uired to be .,rovided,commits a Level 5 felony. Signature of Seller '.Sighatur �' �— ,' Date Signed(mm/dd/yyyy) Pri ed Naer Gate Signed'(mm/dd/ Printed Name of Seller g Adam Romano,President .- 'y) 0611(,/2aeA-s J. BUYER(S)1GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APP. I4 . Buyer 1-Name as it eppears on conveyance document Buyer 2-Name as it appears on yan cement John Alvey IV I .6 Address(number and street) Address(number and street/ A/�3 8506 Yellowstone Dr. A City,State and ZIP Code City,State and ZII$ S ©lf iONQ �v Evansville, IN 47720 (� Country Country v4). United States of America `/PTO, Telephone Number certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION 10 ❑ I. Will this property be the buyer's primary residence? El El 4. Ho 3. meEne Energy Heating or Cooling System stead . ❑ �2. Does the buyer have a homestead to be vacated for ❑ El 5. Wind Power Device this residence? If yes,provide address: 0 0 6. Hydroelectric Power Device Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device . City,State,and ZIP bode County /i3"---d ^l6/-e0o 3g,a-Q,vL Under penalties of peOury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete as and value of SSN/Driver's . r,~