HomeMy WebLinkAboutHomestead_Maday H. PREPARER
Preparer of the Sales Disclosure Form Title
Bobby Racey Closer
Company
Address(number an street,city,state,country, and ZIP Code)
606 Main StreetJasper, IN, 47546
I. SELLER(S)/GRANTOR(S)
Seiler 1 —Name as it appears on conveyance document Seller 2—Name as appears on co r n ocument
Makenzie Meny Taylor
Address(numb and street) r Address(number and street)
/D I ik/ ni1)-7 I/ .- cr --ti)
City,Sate,and ZIP CodeCity, State,and ZIP Code �I"
V,��-( -N' �4rv1 / N e o o 01 ?p
Country Country (,/e �3
SSN
Email Address �(/�.1. Telephone Number
Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowledge and belief, is true,tficyect,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,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of SellerDic
Signature of Seller
� � � �
Printed Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller I Date Signed(mm/dd/yyyy)
Makenzie Meny Taylor 10/30/2023
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
Gabrielle Mae Maday Hoyt Maday
Address(number and street) Address(number and street)
1014 N. Main St. Same
City,State, and ZIP Code City,State,and ZIP Code
Oakland City, IN, 47660
Country Country
Email Address Address
it YES /NO CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary O 3. Homestead
[[[ddd residence? O - 4. Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 5. Wind Power Device
for this residence? If yes, provide address:
0 V 6. Hydroelectric Power Device
Address(number and street) O Q/7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
D6 --/
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-On . Z)—1 - 004- .
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