Homestead_Kaeck H: PREPARER
Preparer of the Sales Disclosure Form Title
Brian K. Mahoney Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
822 E Main St., Petersburg, IN 47567
L. SELLER(s)/GRANTOR(s) . - FILE
Seller 1—Name as it appears on conveyance document Seller 2—Name '�'�PP Y as appears on conveyance document
Seth M. Woolsey McKenzie G. Woolsey
Address(number and street) Address(number and street) MAR 0 2 202
812 N Main Dr. 812 N Main Dr.
City,state,and ZIP Code City,state,and ZIP Code � 1 '
Oakland City, IN 47660 Oakland City, IN 4766 iss , ,i�
Country I Country °N COON J
United States United States NAUDITOR
E-mail address
Under penalties of perjury,I hereby certify this Sales Disclosure,to the 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,o omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Se r tviz
0 Signature of Seller
9
Printed Na e of Seller Date signed(mm/dd/yyyy) Printed Name Seller Date signed(mm/dd/yyyy)
Seth M. Woolsey a-a(-a3 McKenzie G. Woolsey a-a 1 -a3
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
Kyle Kaeck
Address(number and street) Address(number and street)
1457 Dewey Street
City,state,and ZIP Code City,state,and ZIP Code
Jasper, IN 47546
Country Country
United States
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary 2 O 3. Homestead
residence? 0 0 4. Solar Energy Heating or Cooling System
O O 2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
for this residence? If yes, provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
Under,penalties of perjury,I hereby certify that this Sales Disclosure,to the 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
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