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Homestead_McIntosh (2)
H. PREPARER Preparer of the Sales Disclosure Form Title Jerry D.Stilwell Attorney at Law Company Address(number and street,city,state,country, and ZIP Code) 302 N. Prince Street Princeton, IN, USA 47665 I SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Susan Renee Taber Debra Ann McIntosh Address(number and street) Address(number and street) 400 Lakeshore Drive 11898 E 200S City,state,and ZIP Code City,state,and ZIP Code Lexington,KY 40502 Oakland City, IN 47660 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 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 pro ,or omits or falsifies any information required to be provided,commits a Level 5 felony. Signatu of Sellef > f 4��. 'j Signatur of eller Vie--JA-r-A(')A , ante Name of Sel r �' Dateigned(mm/dd/yyyy) Printed Name of Seller Da�te�s'gned(mm/dd/yyyy) Susan Renee Taber 10/ /2024 Debra Ann McIntosh 10f12024 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 conveyanc document Terry McIntosh Address(number and street) Address(number and street) 144_ , 211S1225E City,state,and ZIP Code City,state,and ZIP Code Oakland City, IN 47660 Os,. .46 Country Country J? USA ecoo. �jJ2 E-mail address Telephone number E-mail address G/fS Telephone umber ( ) °Noo c;,,( ) Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify aireig at apply: YES NO CONDITION YES NO CONDITION '9(/, ' ❑✓ ❑ 1.Will this property be the buyer's primary ❑� ❑ 3. Homestead 7T0A, residence? ❑ ❑✓ 4.Solar Energy Heating or Cooling System El ❑ 2. Does the buyer have a homestead to be vacated El El 5.Wind Power Device for this residence?If yes, provide address: ❑ ❑✓ 6. Hydroelectric Power Device Address(number and street) ❑ Q 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county 6„-1(A,-0 7,L` o -00 I +l t 6 Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number Page 3 of 5 '�' H. PREPARER Preparer of the Sales Disclosure Form Title Jerry D.Stilwell Attorney at Law Company E-mail address Telephone number Stilwell Law Office jstilwellattorney@gmail.com (812 ) 386-6482 Address(number and street,city,state,country,and ZIP Code) 302 N. Prince Street Princeton, IN, USA 47665 I. SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document David Arbuthnot Address(number and street) Address(number and street) 1001 West Mill Road City,state,and ZIP Code City,state,and ZIP Code Evansville, IN 47710 Country Country USA E-mail address Telephone number E-mail address Telephone number (es 932-,rJYz ( ) Under penalties of perjury,I hereby certify 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 transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Signat Seller Signature of Seller Prin ed Name of Seller Datned(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) David Arbuthnot 10/'/2024 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 d ument Address(number and street) Address(number and street) City,state,and ZIP Code City,state,and ZIP Code 0 :4?) 0/.. Country Country J© 20? E-mail address Telephone number E-mail address `SOS Telephone number przi Pursuant to IC 6-1.1-12.44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all o'1 es t apply: �/,0Z ' YES NO CONDITION YES NO CONDITION ❑ ❑ 1.Will this property be the buyer's primary ❑ ❑ 3. Homestead TOR residence? ❑ ❑ 4.Solar Energy Heating or Cooling System ❑ El for Does the buyer have a homestead to be vacated ❑ ❑ 5.Wind Power Device for this residence?If yes,provide address: ❑ 0 6. Hydroelectric Power Device Address(number and street) ❑ ❑ 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county $30-00) _ 19 -006 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 transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.(Note:Both spouse's information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being flied.) Signature of Buyer 1 Signature of Buyer 2/Spouse Printed Legal Name of Buyer 1 Sign Date(MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date(MM/DD/YY) Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number (so •a Page 3of5