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HomeMy WebLinkAboutHomestead_McDonald H. PREPARER Preperer of the Sa!os Disclosure Form T Trt'.e BETHANY PRESNELL TITLE AGENT Company Address (number and street, city, state, country, and ZIP Code) 2605 Enterprise Rd E Ste 270, Clearwater, FL 33759 i. SELLER(S)IGRANTOR(S) Seller 1 --Name as it appears on conveyance document Seller 2 — Name as appears on conveyance document Timothy McDonald AKA Timothy B. McDonald Olivia McDonald Address (number and street) Address (number and street) 9621 W 575 S 4224 Tremont Rd City, State, end ZIP Code City, State, and ZIP Code Owensville, IN 47665 Evansville, IN 47710 Country Country. USA V ONIJ,( c0 uvr(q required by law, and is prepared in accordance with IC 6-1.1-5.6. 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 6 felony. AV Sinnature f Se' z ; s.eu Q 3;4.40 ..,eit4 Signature of Seer1�'rrnted . le of Seller Date Sigr d ( m'dd ) Printed Name of Se'ier ate S n d mm'dd 'ri y � ( 'nay) Timothy McDona'd AKA Timothy B. McDonaly /V 2S ZO2 Olivia McDonald _ I 0 1 J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDE ALL THAT APPLY Buyer 1 - Name 05 is appears on conveyance document Buyer 2— Name as it appears o nv a e e inert Timothy McDonald Address (numbr,r end street) Address (number and street) 9621 W 575 S OCTty, Stale, end ZIP Code City. Stale, end ZIP Code (, 3 f Owensville, IN 47665 / 2p25 Country Country USA G1$� , M for certain deductions. Identify all of thosKIW apply: YES NO CONDITION YES NO CONDITION 1. Will this property be the buyer's primary X ❑ 3. Homestead ❑ residence? lof ❑ J�C 4. Solar Energy Heating or Cooling System c c.r- --- cm ❑ 2. Does the buyer have a homestead to be vacated El ►` 5. Wind Power Device '� fcr this residence? if yes, provide address: ❑ ►: 6. Hydroelectric Power Device �1 Ad n rmber r,rri street) ❑ X 7. Geothermal Energy Heating or Cocling Device ki City, Stale, a IP Cafe County \N ( Ot-liT4 5i r t 4 ( 0 ti W-5- 6,-105(70 n Under penalties of perjury, I hereby certify that this Sates Disclosure, to the best of my knowledge end belief, Is true, correct, and complete �1 of Y. [7., am' 15 �`s Art SALES DISCLOSURE FORM_ SDFID cEBARERF° Page 2 Laura Closer Preparer of the Sales Disclosure Form Tide 7820 Eagle Crest Blvd Ste 201 Regional Title Services Address(Number and Street) MNEI Scott A.Burr Tandy Y. Bun Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document 9621 W 575 S 9621 W 575 S Address(Number and Street) Address(Number and Street) Owensville, IN 47665 Owensville,IN 47665 Arose, Email Under p alties of perjury,I hereby certify that this Sales Disclosur ,to the best of my knowledge and belief,is true,correct and co lete as r it y law,and is prepared in accordance IC .1-5.5," al Property Sales Discb s e Art�i gnature of Seller Signature o eller I I Cott A.Burr OS103119 Tandy Y. Burr 0S/o 3//� Printed Name of Seller Sign ate( /$D/YYY1) Printed Name of Seller Sign"��te MM 2 ( / /YYYY) A YER'(Sl'LBRANTEETWAPP.LICAT[ONE.ORIPROEERT-YaTAZDEDUCTIONS',5115ENTIFYAIIRITEMSTHATAEELY '. >R WS thy B.McDonald C-Name as appears on convesteacument Buyer 2-Name as appears on conveyance document 1000 Red Bnck Cf. Address(Number and Street) Address(Number and Street) Evansville,IN 47720 E- all Telephone Number FILED E-rna„ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.Mayd 06�201��9� YES NO CONDITION NO CONDITION sJ(,�„ y� [ ] 1.Will this property be the buyer's primary (❑ 3.Homestead •-•% IBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ .a 4.Solar Energylieating/Cooling System residence,including county: 9621 W 575 S [� El S.Wind-Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Owensville, t .47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP C a County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8• Is this property a residential rental property? vacated for this residence? If yes,provide 0 H 9.Would you like to receive tax statements for this property via e- f ' , vide contact information complete address of residence being vacated, including county: below.Please see instructions ore information. 26-17-09N L616'1aa5 '°gPYn- 2). Address(Number and Street) Timothy Q i lannald City,State ZIP Code County Prima name E-mall Number License/ID/Other Number