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Homestead_Cox (4) 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 The Francisco General Baptist Church, Inc., an Indiana Non-Profit The Francisco General Baptist Church, Inc., an Indiana Non-Profit Corporation Corporation Address (number and street) Address (number and street) PO BOX 39 PO BOX 39 City, State and ZIP Code City, State and ZIP Code Francisco, IN 47649 Franciso, IN 47649 Country Country United States of America 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 of Sellrr-- C- Si -a re of Seller • t_ LZ.. - r— -- .�1� Printed Name of Seller to Signed (mm/dd/ Printed Nam of eller Date Signed (mm/ddlyyyy) Danny Dillon, Head Deacon YYYY) Tracy Krueg, Trustee 10/27/2025 10/27/2025 J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THA P Buyer 1 — Name as it appears on conveyance document Buyer 2 — Name as it appears cony a document Terrell W. Cox Address (number and street) Address (number and s1 e1 2 831 N Main St .9 ��� City, State and ZIP Code City, State art4 S ff�- ode `f Oakland City, IN 47660 Oiy ``-- rO � ,f Country Country . ti 1 United States of America 41 'O 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: :ThD YES NO CONDITION YES NO CONDITION ® ❑ 1. Will this property be the buyer's primary residence? © ❑ 3. Homestead m El 2. Does the buyer have a homestead to be vacated for El RI 4. Solar Energy Heating or Cooling System this residence? If yes, provide address: O ❑ 5. Wind Power Device Address (number and street) El ❑ 6. Hydroelectric Power Device ! 831 N Main St El RI 7. Geothermal Energy Heating or Cooling Device i City, State, and ZIP Code County 4o Oakland City, IN 47660 Gibson ^t T 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 T 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 .d? property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's information, SSN/Driver's