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Homestead_Hedden
H. PREPARER Preparer of the Sales Disclosure Form Title Courtney Pruett Title Clerk Company Address(number and street,city,state,country,and ZIP Code) 4600 Washington Ave, Suite 102, Evansville, IN 47714 I. SELLER(S)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Estate of Este!W. McCarty Jr Address(number and street) Address(number and street) d o S. Mo.(n .+ City,State,and ZIP Code City,State,and ZIP C,t•e'1 Country Countr y of my no lefI9e 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 kn I :gnd'ntefttio ally falsifies the value of transferred real property,or omits or fal s any Information required to be provided,commits a Le4414..f `" ° Sig re►Se -r-Ilk Signature of Seller r. •..-;1�` �J • Pri ted Na e of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Ja es G McDonald, III, PR 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 Leo Rusty Hedden Address(number and street) Address(number and street) 310 West Division Street City,State,and ZIP Code City,State,and ZIP Code Oakland City, IN 47660 Country Country t= t Disclosure Form may be used to apply for certain deductions.Identify all of those that a..ly: YES NO CONDITION YES,. NO CONDITION (33 O 1.Will this property be the buyer's primary EV 0 3.Homestead residence? 0 Q 4.Solar Energy Heating or Cooling System O . Does the buyer have a homestead to be vacated 0 Q 5.Wind Power Device for this residence? If yes, provide address: 0 Q 6.Hydroelectric Power Device Address(number and street) 0 Q 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County %,. 1 4 — /D -301 - odo .©IG —00.4_