Homestead_Moline (3)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Edna Marie Thomas
Address(number and street) Address(number and street)
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City,state,and ZIP Code _J City,state,and ZIP Code
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E-mail address /r ',/
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-(" Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Cameron M. Moline `Je-e.- 4-1--i}cd.1 ./e
.` Address(number and street) Address(number and street)
4 803 McCarty Road
City,state,and ZIP Code City,state,and ZIP Code
4 Prineton Indiana 47670
Country Country
V. US
E-mail address i4... Telephone number E-mail address Telephone number
(812) 449-3839 (sit) 589-4395
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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
Michael F.Wasson ?. Christy M. Wasson
E-mail address Telephone number E-mail address AT /4„ Telephone number
IVA- (812) 589-4395 (812) 859-4395
Pursuant to IC 6-1.1-%44,the Sales Disclosure Form may be used to apply for certain dedu tions.Identify all of those that apply:
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