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Homestead_Hensley (3) 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 Robert G. Wilson Address (number and street) Address (number and street) PO BOX 333 i City, State and ZIP Code City, State and ZIP Code Oakland City, IN 47660 , Country Country United States of America Email Address Under penalties of perjury, I hereby certify 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 property, or omits or falsifies any information required to be provided, commits a Level 5 felony. ignature Signature of Seller Printed Name of Seller �-t�a' Date Signed (mm/dd/ Printed Name of Seller P/tate Signed (mm/dd/yyyy) Robert G. Wilson YYYY) 10/6/2025 '4) J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY OC'1 Buyer 1 — Name as it appears on conveyance document Buyer 2 — Name as it appears on convegatic§Nolcument Nathaniel D. Hensley Alexis Henry Gicsi-T--,...- `u ,5- m? . Address (number and street) Address (number and stree&tic 600 S Hull St, APT 303 600 S Hull St, APT 303 O(.7ti City, State and ZIP Code City, State and ZIP Code x7Up/� Fort Branch, IN 47648 , Fort Branch, IN 47648 0R Country Country United States of America United States of America , - Email Address Pursuant to IC 6-1.1-12r44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION El 0 /2. 1. Will this property be the buyer's primary residence? © ❑ 3. Homestead ❑ DoesIithe buyer have a homestead to be vacated for D 0 4. Solar Energy Heating or Cooling System this residence? If yes, provide address: ❑ 0 5. Wind Power Device Address (number and street) ❑ 0 6. Hydroelectric Power Device ❑ 0 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County .Lil-tom- ►7 - 3aa - cc ‘ - \ L-kS- 7 . 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 Page 3 f