Homestead_Tooley (3) H. PREPARER •
Preparer of the Sales Di losure Form . Q Title
The Company
Company
Address(number and street.city,slate,country,and ZIP Code) I
7820 Eagle Crest Blvd,Suite 201, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conv,'a c 3 •* me
Deborah S.Cochrane
Address(number and street) Address(number and street) 11)
310 S Madison Street HAR i n City,slate,and ZIP Code City,slate.and ZIP Code . u ln
Oakland City,IN 47660 I 41/23
Country Country ' 0 -2.24c:/zeze_e/
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( I/7-06,
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 6-11-5.5.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.
'.., tur of Seller Signature of Seller
Tri-tryk L. 1
Printed Name of Seller Date signed(Inrnfddlyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Deborah S.Cochrane 03/07/2023 03/07/2023
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
Makenzie Danielle Tooley
Address(number and street) Address(number and street)
214 W Cherry Street
City,stale,and ZIP Code City.state,and ZIP Code
Oakland City,IN 47660 1
Country Country '
US I
_1 , ( )
Pursuant to IC 6-1.1-1244,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary e.,,- , D 3. Homestead
residence? (:) 1 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 a, 5.Wind Power Device
0z'- for this residence?If yes,provide address: 0 a 6. Hydroelectric Power Device
Address(number and street) 0 12 7. Geothermal Energy Heating or Cooling Device
City.slate.ZIP code,and county
• 6'-tit - 1.i-202-- 0 Oi . 2_,L0- -0 0 4-
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
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