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Homestead_Adcock (2)
H. PREPARER Preparer of the Sales Disclosure Form 1 Title Courtney Pruett Title Clearance Company Address(number and street,city,state,country,and ZIP Code) 4600 Washington Ave, Suite 102, Evansville, IN 47714 1. SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as app-:rs j veyance document Bryan Scisney , Address`�numbe'r and street) Address(number and street 1/ 514 N Hart StE.- , 1 City,State,and ZiP Code City, State,and ZIP CoddEQ Princeton, IN 47670 U D 2 Country Country , O2 �fj Q to Email Address best of my knowledge and belief, 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 J) , Signature of Seller AU Printed Na of Seller Date Si ed(m dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Bryan Scisney Z /5 2,3 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 W.Adcock Address(number and street) Address(number and street) $mil L1 N H 644 T Cit State,and ZIP Code City, State,and ZIP Code .1InT/r.e t a 1vv ID 1- '7 0 0 Country Country Erna' ddress NO CONDITION D 1.Will this property be the buyer's primary 0 3. Homestead residence? Q © 4.Solar Energy Heating or Cooling System yam( 0 2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device j�'l for this residence? If yes, provide address: 0 2 6. Hydroelectric Power Device Address(num rand street) Q 0 7. Geothermal Energy Heating or Cooling Device 77 SS rrM1►'V iiikivlj� City,.State,and ZIP Cade County AA-tAi6uel IN 7A./ 41q 67 Y 6 corn,d,---%-) I-07- 102._co 0 ociS3—Qz8 - ,, ,' "�'� ; : :' rr