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Homestead_Pablo
FH. PREPARER Preparer of the Sales Disclosure Form Title Scott Morris Escrow Agent Company Address(number and street,city,state,country,and ZIP Code) 4600 Washington Ave, Suite 102, Evansville, IN 47714 I. SELLERS)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document David D McCandless Robyn R McCandless -\ Address(number and street) Address(number and street) 3©© Cate.. S+. , Ln+ e City,State,and ZIP Code City,State,and ZIP C t',j0 1C,f q'1U233 Country Country 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. :'• = • e of Sell- Signature ofSeller - 4 Q4Lmf� ' L L jA Cav (L,L e . ,, • '. -• Name o •e er ' Date Signed(mm/dd/yyyy) Printed Na of Seller Date'Signed(mm/dd/yyyy) David D McCandless 5 . ,.a7, Robyn R McCandless .col.k.,-)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 Parnell Pablo Carole Toussaint Pablo Address(numberand street) Address(number and street) Haa G.v46.1 rttxk-Sk. City,State,and ZIP Code City,State,and ZIP Code DvA tf Ile r s 41( (O5 Country Country t/ . pit ls.,_ Email Address for certain deductions.Identif7ap of those tha ap I • YES NO CONDITION YES�/ NO CO ION l ee 0 1.Will this property be the buyer's primary Li" O 3. 3 Q 1 `-' residence? 0 O 4.Solar En r,�lei3iXq or Cooling System 0 2.Does the buyer have a homestead to be vacated O © 5.Wind Power �DYYeli6ij/oo for this residence? If yes, provide address: O C) 6. Hydroelectric Power i 'ice Address(number and street) Q © 7. Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County 0 . '1 Y r 01- O"' 0 00 '5 4-4- _0 7 2 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 Page 3 1 It - k•