Homestead_Stone (5) H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street,city,state, country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Donald H. Cash Beverly J. Cash
Add_rQss�(nymberan� r
e
ef)
i Adore s(numb d st/etN) /' �In
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C fate,and ZIP Code Ci tate,and Z P,Code
ar kit Ili I Ll`T M 'jit 10 `iq 116
Country Country
USA USA
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct nd complete as
required by law,and is p epared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally falsifies the value of transferred
real prop fty,or omits r fa fies any inf ati n r uired to be provided,commits a Level 5 felony.
Signatur o elf ,� Signge of Seller,
Printed Name of Se e e 4ned(mm/dd/yyyy) Printed Name oyL f Seller Date Signed(mm/dd/yyyy)
Donald H. Cash September 8, 2023 Beverly J.Cash September 8, 2023
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDE LL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears c n y ce ent
Kenneth J. Stone
Address(number and street) Address(number and street) D
6557 West 400 South Sep '
City,State,and ZIP Code City,State,and ZIP Code 3 ?0?3
Owensville, IN 47665cNi
Country Country G/ii
0 USA esOA/o co.
,
for certain deductions.Identify all of those that apply:
• YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary ❑ 3. Homestead
C /IQ ❑ residence? ❑ qi 4.Solar Energy Heating or Cooling System
l
Q2. Does the buyer have a homestead to be vacated ❑ 5.Wind Power Device
V for this residence? If yes, provide address: El 6. Hydroelectric Power Device
I Addr ss{ mbler and scree} l. ❑ 7.Geothermal Energy Heating or Cooling Device
t City,State,ZIP ode,and County
0 Firal ii I "1'? 6i/y' 6- ((� _ 3 6- ,°' -00 0 . Ltct t og_i
3 Under penal of perjury,I herebycertifythat this Sales Disclosure,to the best of myknowledge and belief,Is true,correct
ge t 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
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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