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Homestead_Townsend
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 appeaFfn ya ce document Mayla Buckner Address (number and street) Address (number and street) 602 Johnson Ave. J,q�` City, State and ZIP Code City. State and ZIP Code rY 7 Princeton, IN 47670 2��6 Country Country United StatesG/e� of America S Email Address ON C� Email Address lYgvaTO phone Number 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 Seller Signature of Seller Printed Name bf Seller Date Signed (mm/dd/ Printed Name of Seller / g Date Signed (mm/dd/yyyy) Mayla Buckner YYYY) 12/29/2025 J. BUYER(S)/GRANTEE(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 Vicki Townsend Bobby Townsend, Jr. Address (number and street) Address (number and street) 103 S Smith St 103 S Smith St City, State and ZIP Code City, State and ZIP Code Owensville, IN 47665 Owensville, IN 47665 Country Country 0 United States of America United States of America Email Address 1) 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: 0 YES NO CONDITION YES NO CONDITION D © ❑ 1. Will this property be the buyer's primary residence? 0 ❑ 3. Homestead I El 0 2. Does the buyer have a homestead to be vacated for ❑ El 4. Solar Energy Heating or Cooling System 0 this residence? If yes, provide address: 0 El 5. Wind Power Device Address (number and street) 0 El 6. Hydroelectric Power Device p 103 S Smith St ❑ El 7. Geothermal Energy Heating or Cooling Device >0 City, State, and ZIP Code County c ___0Owensville, IN 47665 Gibson ' 2 -0a �' 3 — 0 a3 , 01 o 2_ p O q Under penalties e p na ties 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 property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's information, SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.) `