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HomeMy WebLinkAboutHomestead_Swartz H. PREPARER Preparer of the Sales Disclosure Form Title Abbey Moore Closing Agent Company • Address (number and street, city, state, country, and ZIP Code) 4905 Theater Drive, Evansville, IN 47715 I. SELLERS)/GRANTOR(S) Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears n e document The Estate of Doris J. Edrington Address (number and street) ' Address (number and street) 117 North 3rd Avenue "t1) City, State, and ZIP Code City, State, and ZIP Code S(p Oakland City, IN 47660 _ ? 99 Country Country OCS USA C/ best of my knowledge and belief, , ect and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally the value of transferred real property, or omits or fats ny information required to be provided, commits a Level 5 felony. Signa of Sell • Signature of Seller rinted Name of Seller Date Signed (mm/ddfyyyy) Printed Name of Seller Date Signed (mm/dd/yyyy) Rusten Edrington, Personal Representatih September 12, 2025 September 12, 2025 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 Christopher Swartz Address (number and street) Address (number and street) 117 North 3rd Avenue City, State,and ZIP Code City, State, and ZIP Code Oakland City, IN 47660 Country Country USA for certain deductions. Identifyakf those that apply: YES NO CONDITION YES NO CONDITION r3? a 1. Will this property be the buyer's primary © ❑ 3. Homestead �., • , ❑ ❑ residence? ❑ El 4. Solar Energy Heating `1` - •: X ❑ I 2. Does the buyer have a homestead to be vacated ❑ 5. Wind Power Device ❑ for this residence? if yes, provide address: ❑ Q 6. Hydroelectric Power Device Address (number and street) ❑ ❑X 7. Geothermal Energy Heating or Cooling Device City, State, ZIP code, and County L13 - 13 -40Z — COI -oo 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 Page 3