Homestead_McKinley H. PREPARER
Preparer of the Sales Disclosure Form Title
Melissa D. Baker Searcher
Company
Address(number and street,city,state,country,and ZIP Code)
226 W. Broadway Steet, Princet, IN 47670
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
MarAddress
J. Cox t I L E D
Address(number and street) Address(number and st
203 W. Locust Street
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648 MAR 16 2022
Country Country
USA i,„,„/ a, r r
E-mail address
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.
Signature of�Seller
r�1�' �p Signature of Seller
Printed Name o S`bller �G Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Marilyn J. Cox 03--//- ,a,.,52
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
Jeremy C. McKinley Trianna J. McKinley
Address(number and street) Address(number and street)
4335 W 650 S 4335 W 650 S
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665 Owensville, IN 47665
Country Country
USA USA
E-mail address Telephone number E-mail 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:
YES NO CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary O 0 3.Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
O CI for
Does the buyer have a homestead to be vacated CIO 5.Wind Power Device
for this residence? If yes,provide address: O O 6. Hydroelectric Power Device
Address(number and street) O 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
—k'8—13-404— 001 -3 8 8 —026.