HomeMy WebLinkAboutHomestead_Bottoms H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street, city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
JANE ELLEN SCALES THOMAS EDWARD ARENDELL
Address(number and street) Address(number and street)
2458 S State Road 57
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660-8428
Country Country
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 pr••-rty,or omits or f Islfies any'formation required to be provided,commits a Level 5 felon .
Sign. r of Seller ignature o eller 61
Prig d ame of Se at ' ed (mm/dd/yyyy) 'nte o Se er -/Date Signed(mm/dd/yyyy)
J.,4"E ELLEN SCALES April 6, 2023 OM DWARD ARENDELL April 6, 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
TRAVIS BOTTOMS JALIYAH GASAWAY
Address(number and street) Address(number and street)
2458 S State Road 57 2458 S State Road 57
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660-8428 _ Oakland City, IN 47660-8428
Country Country it y ,I'
E-mail Address
for certain deductions.Identify all oPtW, •t ap
YES NO CONDITION YES• NO CONDITION N�,
1.Will this property be the buyer's primary [� ❑ 3. Homestead ��D/ ai
❑ residence? ❑ 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated ID [t� 5.Wind Power Device
❑ lelle for this residence? If yes,provide address: ❑ 6.Hydroelectric Power Device
Address(number and street) ❑ lV 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County �c-13-Z4-3oo-od0- U 6 00G
M " '� )
}Uzi.
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