HomeMy WebLinkAboutHomestead_Myers . -- - •--- - - —_. ___ _ - _ _ - - - ------- ---- -- -
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H. PREPARER
Preparer of the Sales Disclosure Form Title
Jan Weldv Settlement Agent - i
Company
Address (number and street, city, state, count and ZIP Code
ty country, }
412 E. Flora St, Washington, IN 47501
I. SELLER(S)/GRANTOR(S)
Y Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Acacia K. Murphy f
Address (number and street) Address (number and street)
643 Lee Rd
City, State, and ZIP Code City, State, and ZIP Code pi -
Craigville, IN 46731
Country Country
US EI)
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(�
7 CQ )
. Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowt a 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 knowi ioonnally falsifies the value of transferred •
' real property, or omits or falsifies any information required to be provided, commits a Leve
Signature of Seller Signature of Seller h, ` yz J -TI
Printed Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Nate Signed (mm/ddiyyyy)
Acacia K. Murphy 01/30/2026 01/30/2026
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
Terry R. Myers Gertrude Myers
Address (number and street) Address (number and street)
269 S State Road 57 269 S State Road 57
City, State, and ZIP Code City, State, and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660
Country Country
US
for certain deductions. Identify all of those that apply:
f YES NO CONDITION YES NO CONDITION
O 1. Will this property be the buyer's primary O 3. Homestead
y&J residence?
0 ® 4. Solar Energy Heating or Cooling System
O ® 2. Does the buyer have a homestead to be vacated 0 ® 5. Wind Power Device
for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City. State, and ZIP Code County
6,.. ) 2_ - 0 7- 30S - Uoi L \ o- 8
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
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