HomeMy WebLinkAboutHomestead_Patrick H. PREPARER
Preparer of the Sales Disclosure Form Title
Christina Gourley Christina Gourley
Company
Address(number and street.city,state,country,and ZIP Code)
Christina Gourley
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as app rlo, eyance document
Amber N. Winchell E
DAddress(number and street) Address(number and street)
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City,State.and ZIP Code City,State,and ZIP CodiS LCJ
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Country I Country � �j_ /
e.
Em ' ddress
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.
Si nature of Seller Signature of Seller
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Print d Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Amber N. Winchell 02- Off__- 2,0 23
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
Joshua Wade Patrick
�ft�ess(number and street) Address(number and street)
fz B}'ect _s4.fr*, rtc 0 A IN 147670
State,and ZIP Cod City,State, and ZIP Code
City,ountry Country
Email Address
( )
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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
D 1.Will this property be the buyer's primary O 3. Homestead
residence? O p 4. Solar Energy Heating or Cooling System
O j�,' 2. Does the buyer have a homestead to be vacated O O 5.Wind Power Device
J' for this residence? If yes, provide address: O O 6. Hydroelectric Power Device
Address(number and street) 0 p 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County )r'l L-O a - ‘0 3 -002_22-c1 --- Z,?y