HomeMy WebLinkAboutHomestead_JonesH.PREPARER
Preparer of the Sales Disclosure Form
Title
David S. Dupps
Attorney
Company
Email Address
Telephone Number
Mattingly Ford Title Services, LLC
David@mattinglyford.com
(812 ) 542-1626
Address (number and street, city, state, country, and ZIP Code)
4008 Northside Drive, Suite 101, New Albany, IN 47150
I. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Michael D. Richardson
Address (number and street)
Address (number and street)
City, State, and ZIP Code
.o 1060.k F/ S-z.s
City, State, and ZIP Code
Country
Country
USA
Email Address
Telephone Number
Email Address
Telephone Number
(812 ) 630-0183
( )
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 property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
Signature of Seller
Signature of Seller
Printed Name of Sell r
Date Signed (mm/dd/yyyy)
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Michael D. Richardson
06/26/2026
J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENT A AT
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears on co ve do en
Rodney W.Jones
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Address (number and street)
Address (number and street)
5245 S. State Road 65
"I UL ® 2
City, State, and ZIP Code
City, State, and ZIP Code VLu
Owensville, IN 47665
Country
USA
Country
USA G/ SON
Co
Email Address
TelephoneNumber
Email Address
Tee TGSfnber
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Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to
apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
O O 1. Will this property be the buyer's primary
O O 3. Homestead
residence? i
O O 4. Solar Energy Heating or Cooling System
O O 5. Wind Power Device
O O 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
@ p 6. Hydroelectric Power Device
@ @Q 7. Geothermal Energy Heating or Cooling Device
,)
Address (number and street)
City, State, and ZIP Code County
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
transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
infonnation, SSWDriver's License/ID/Other Number is necessary only if a Homestead Deduction is being filed.)
Signature of Buyer 1 /
b (ol2�a/ZF zr✓
Signature of Buyer 2/Spouse
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Rodney W. Jones 06/26/2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
a Vps� I III
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