HomeMy WebLinkAboutHomestead_Fenwick H. PREPARER
Preparer of the Sales Disclosure Form Title
E Lori Deater Agency Manager
` Company
Address(number and street,city,state,country,and ZIP Code)
331 Franklin St,Columbus,IN 47201
I. SELLERS)/GRANTOR(S)
1 Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveys d
Tiffany D.Fenwick fka Tiffany D. Dyer
Address(number and street) Address(number and street) //��
118 N.Gibson St ,744`.
City,State,and ZIP Code City,State,and ZIP Code /)
I) '
Oakland City,IN 47660 G 11
Country Country /e
O
SOti"
CO C2
Email Address '
the best of my knowledge and belief,Is true,correQ4nd 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.
Signaturei of SeNeer /� (�, Signature of Seller
.-a f K !1,?tk 7l Li'& (- ,It. to lLk i V-
P' Name f Seller Date SigAed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
!Tiffany D.Fenwick fka Tiffany D.Dyer 05/03/2024
J. BUYER(S)/GRANTEE(S)—APPUCATION 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
1 Clinton R.Fenwick
Address(number and street) Address(number and street)
118 N.Gibson St
City,State,and ZIP Code i City,State,and ZIP Code
Oakland City,IN 47660
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 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 1 0 0 5.Wind Power Device
El ❑✓ for this residence?If yes,provide address: ❑ p✓ 6.Hydroelectric Power Device
Address(number and street) ❑ 0 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 2 6 "l r 1 1 , `` x — l O 1 _o o 6 7 7— co
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
3
C 0 P Y
Lesser of 112 Homestead
=S
ValuatIon 17 535.000
Signature of it
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Dat
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