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Homestead_Scott (7)
H. PREPARER Preparer of the Sales Disclosure Form Title Stacy Brown closing agent 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 conv once document Mickey Lee Scott Address(number god street) Address(number and street) City,State,and ZIP Code City,State,and ZIP Code ci Loco s i1 , !� �1 rI tsM 5 y,f pp Country Country �� Email Address tic 2 ( Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and ti correct,and complete as required by law,and Is prepared in accordance with IC 6-1.1.5.5.A person who knowingly and Intention the value of transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. �/(} SI lu of Seller 7,�Fy Signature of Seller c ji t4 �. _ Printed N e of Se r`" Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Mickey Lee Scott 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 Bobbi J. Scott Address(number and street) Address(number and street) , 7887 S 950 W City,State,and ZIP Code' City,State,and ZIP Code Owensville, IN 47665 Country Country Email Address apply for certain deductions.Identify all of those that apply: YES , NO CONDITION YES NO CONDITION ©// 0 1.Will this property be the buyer's primary 0 3.Homestead /residence? 0 O7 4.Solar Energy Heating or Cooling System 0 /2.Does the buyer have a homestead to be vacated 0 (I 5.Wind Power Device LLL�VVY�� for this residence?If yes,provide address: 0 C 6.Hydroelectric Power Device Address(number and street) 0 0� 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County a/ ^l� n` -10 0-O0(1 LI 31 ^O 21 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete x. 40•! s4s