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Homestead_Pierce
H. PREPARER Preparer of 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. SELLER(S)/GRANTOR(S) Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it appears on conveyance document DLS Development, LLC, an Indiana limited liability company Address (number and street) Address (number and street) 7758 S 950 E City, State and ZIP Code City, State and ZIP Code t. Elberfeld, IN 47613 f Country Country IQ") - United States of America Email Address 21O 2O M `). Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and ' f; i true, correct, and comple18 as required by law;'and is prepared in accordance ith IC 6-1.1-5.5. A person who knowingly and intentionally vie�off ansferred real property. or omit o falsifies any, infor tion requ' e be provided, commits a Level 5 felony. N C0 • ��Q_ VSig pre of Seller Signature of Seller gUpl� /• __.� f ,1 aR Printed Name of Seller Date Signed (mrn/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy) Dennis L. Strickland Jr, President YYYY) 9/8/2025 J. BUYER(S)IGRANTEE(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 Jeremy P. Pierce Gina R. Pierce Address (number and street) Address (number and street) ti " . 221 E Main St 221 E Main St Up f f 4) y City, State and ZIP Code City, State and ZIP Code � = i.;1. Somerville, IN 47683 Somerville, IN 47683 2 Country Country United States of America United States of America Email 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 E ❑ . Will this property be the buyer's primary residence? 0 ❑ 3. Homestead ❑ 2. Does the buyer have a homestead to be vacated for ❑ © 4. Solar Energy Heating or Cooling System this residence? If yes, provide address: ❑ C] 5. Wind Power Device Address (number and street) ' ❑ 0 6. Hydroelectric Power Device ❑ El 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County DU -3C , o� - y - . 1L-k-CC _ Under penalties of perjury, I hereby certify that 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 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transferred real