HomeMy WebLinkAboutHomestead_McEllniney rpoc c)._,R,
H. PREPARER
r. Preparer of the Sales Disclosure Form Title
Sandra L. Hicks Attorney
Company
Address (number and street, city, state, country, and ZIP Code)
i
843 S. 9th Avenue, Haubstadt, IN 47639
I. SELLER(S)/GRANTOR(S) QEC i1�
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on axive4igg5 document
Dewayne C. Edwards Laura M. Edvtards
Address (number and street) Address (numt . reet)
2525 S 850E Gies 2525 850 E CO
S
City. State. and ZIP Code City, State. and ZIP Code 7YAUDITO
Oakland City, IN 47660 Oakland City, IN 47660 R
Country Country
USA - Gibson County, IN USA - Gibson County, IN
Email Address
Under penalties of perjury. I hereby certify 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 transferred
real props ty, or omits or falsifies any information required to be provided, commits a Level S felony. '
Si9natu pf Seller.-, 4 J ig lure of Seller
c.' y `t'Yt 6
Print d Name of eiler Date Signed (mmlddryyyy) Prin'ed Name of Seller 1- Date Signed (mmlddlyyyy)
De ayne C. Edwards ` oq _I9_25- Laura M. Edwards f 1 J j2 n
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
Emily McEllhiney Zachary McEllhiney
Address (number and street) Address (number and street)
8399 E 250 S 8399 E 250 S
City. State. and ZIP Code City, State. and ZIP Code
Oakland City, IN 47660 Oakland City. IN 47660
Country Country
USA - Gibson County, IN USA - Gibson County, IN
Email Address
YES NO CONDITION i YES NO CONDITION
1. Will this property be the buyer's primary a ❑ 3. Homestead
residence? 0 0 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated I 0 0 5. Wind Power Device
h❑ for this residence? If yes, provide address: 00 6. Hydroelectric Power Device
Address (number and street) 0 7. Geothermal Energy Heating or Cooling Device h
City. State. and ZIP Code County
Q _CD, -P- s ' naCCI-- CO 1 . $17 a - OC L1 .
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 1
transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's i
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that is not assessed as real property or to a manufactured home that is not assessed as real property may
not exceed one-half(1/2)of the assessed value of the mobile home or manufactured home.
Signature of Auditor Date signed(month,day,year)
DISTRIBUTION: Original- my Auditor,File-Stamped Copy-Taxpayer
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