Homestead_Bush (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
• Jennifer Gressett Recording Manager
Company Email Address
Address(number and street.city,state,country,and ZIP Code)
6160 Warren Pkwy. Ste. 100, Frisco,TX 75034
I.SELLER(S)/GRANTOR(S) •
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on lk ocument
Rella Mae Bush
Address(number and street) Address(number and street) k'l a -
4058 South County Road 350 West City,State,and ZIP Cade City,State,and ZIP Code ®`C
CA
Owensviile, IN 47665 C,� / / 2o
Country Country . ?i `\ -
The United States of America Gie
Email Address
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.
Signatu f Seller ) Signature of Seller
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ti
Printed Name of Seiler Date Signed(mrnldd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Rella Mae Bush //-yZ2-ar�L
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
Timothy David Bush
Address(number and street) !Address(number and street)
4058 S. County Rd 350 West
City,State,and ZIP Code City,State,and ZIP Code
Owensville, IN 47665
Country Country r
The United States of America
Email Address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
mi 1.Will this property be the buyer's primary 01 3.Homestead
sidence? 0 (y 4.Solar Energy Heating or Cooling System _
I 2.Does the buyer have a homestead to be vacated J Z 5.Wind Power Device
for this residence? If yes,provide address: a Eg6.Hydroelectric Power Device
Address(number and street) D Ili 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County T6-11 _ 3y--3 00—00 c. 63 I —0 21 . •
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