Homestead_Taylor (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Milton Norman 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)IGRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on cot ument
Robert Gerald Scales,Jr.
Address(number and street) Address(number and street)
1481S1050E
.jc
City,State,and ZIP Code City,State,and ZIP Code MUG
Oakland City,IN 47660 ? 2024
Country Country l
US G49 O
Email Address
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 property,or omits or falsifies any! conflation required to be provided,commits a Leval 5 felony.
Signature of Seller �/1� ' Signature of Seller
g !/ '' Printed Name of Seller 1 Date Signed(mm/dd/yyyy)
Printed Name of Seller Date Signed(mmlddlyyyy) nt
Robert Gerald Scales,Jr. Cr- /cj ''2`7✓
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
Rebecca D.Taylor
Address(number and street) Address(number and street)
1481 S 1050E ,
City,State,and ZIP Code City,State,and ZIP Code U14-1 v .
Oakland City,IN 47660 lie
-
US
Country
US
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 51 0 3.Homestead
® 0 residence? 0 ►i 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
for this residence?If yes,provide address: p ® 6.Hydroelectric Power Device
Address(number and street) 0 ( T.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County p - 13 -1 L\- (-t 00 p 0 l .6 2l - 004,
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