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Homestead_Tinsley (2) H. PREPARER Preparer of the Sales Disclosure Form Title Gabriella VanAlstine Escrow Officer Company i Address(number and street,city,state,country,and ZIP Code) 606 Main Street, Jasper, IN 47546 ILED . I. SELLERS)/GRANTOR(S) a I Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document Brian D. Tooley Zella D. Tooley NOV 2 7 2024 Address(number and street) Address(number and street) 439 S Jackson St 439 S Jackson St City,State,and ZIP Code City,State,and ZIP Code ..: :Oakland City, IN 47660 Oakland City, IN 476� �. fir Country Country GIBSON COUNTY AUDITOR • 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 information requir d to b -provi ed,commits a Level 5 felony. Signature of Seller z ig ture of Seller Printed Name of Seller Date ned(mm/dd/yyyy) Print a of Seller Dete Signed(mm/dd/yyyy) Brian D. Tooley 11/22/2024 Zell . Tooley 11/22/2024 i 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 Allison N.Tinsley Coy A.Tinsley i Address(number and street) Address(number and street) 7608 E. State Road 64 7608 E. State Road 64 City,State,and ZIP Code City,State,and ZIP Code Francisco, IN 47649 Francisco, IN 47649 Country Country ` Email Address Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply: YES NO CONDITION YES NO CONDITION CD C 1.Will this property be the buyer's primary CO 0 3.Homestead residence? 0 C✓ 4. Solar Energy Heating or Cooling System • 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device © for this residence?If yes,provide address: C C✓ 6.Hydroelectric Power Device ?( , I •.dress(2rbeiggid stre q 0 CO 7.Geothermal Energy Heating or Cooling Device \;:) l City,State,an ode '_Count O� , 6 i \ iNG iAI *-76'7d ___ 1. i Z -13 -2F- l0O- �?�.3L�Z-po�� I Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete i 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 Llcense/ID/Other Number is necessary only if a Homes ad Deduction is being tiled.) I ' — — ,`• S O l LDk tic) ` r Page 3 �, a y3. ii \‘• 1ckrn ace tic.. ode. ",ra n �:l. ck,...?,,. sin,0:.1/4.0--r\o--\-- `ye ` " nAil, 'csS—o` 'iS 01)C—