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HomeMy WebLinkAboutHomestead_McGregor H. PREPARER Preparer of the Sales Disclosure Form Title 'M1 t1c.-1 - i.e r"`' Settlement Agent Company Address(number and street,city,state,country,and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 I. SELLER(S)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyanc= •o• -- t Judith L.Smith Address(number and street) Address(number and street) 214‘. t3os5 Ve. - — D City,State,and ZIP Code 1/6/0 1 / City,State,and ZIP Code •Jq A, eSU 14 YlirL ,Ir ? Country Country 2024 US G/p `/ Email Address knowingly and intentionally falsifies the value of transferred real property,or omits om itts or falsifies any information required to be provided,commits a Level 5 felony. Signatyre Se/L(�'v / Signature of Seller NA Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Judith L.Smith 01/22/2024 01/22/2024 i J. BUYERS)/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 Lisa J.McGregor Address(number and street) Address(number and street) 1Z-5 S V-C.eC .5ar City State,and ZIP Code City,State,and ZIP Code 9c 'ccit,-/ tft\.1 t17o1b Country Country US Email Address CONDITION ® O 1.Will this property be the buyer's primary ® 0 3. Homestead residence? 0 ® 4. Solar Energy Heating or Cooling System - 2. Does the buyer have a homestead be e 0 ® 5.Wind Power Device 8 `W for this residence? If yes,provide ddr 3>" �1 0 ® 6. Hydroelectric Power Device Addr s (numb�erf and trrelet) �_` • 0 ® 7. Geothermal Energy Heating or Cooling Device ate,and ZIP Code �i ��0� , > M City,� /\ unty �- rt ,rue.7n ) -�✓1 Lj 7i 7 ? 12'0-(-CIO 1 - o o i . o 4-`1 — 0 Z8 . 0 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct,and complete '_ kt y