HomeMy WebLinkAboutHomestead_Page (2) I•I PREPARER
Preparer of the Sales Disclosure Form Title-
Vinod C. Gupta President
Company
Address(number and street,city,state,country,and ZIP Code)
17962 Foxborough Lane, Boca Raton FL 33496
I SEI_LER(S)IGRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Wiper Corporation r -
Address(number and street) Address(number and street-;"'
17962 Foxborough Lane
City,state,and ZIP Code City,state,and ZIP Code
Boca Raton FL 33496 41q
z '46,4e)
Country Country c,1,
United States G,
who knowingly and int ' falsifies the value of transferred.
real property or omits or falsifies any inform ation:required to he provided,'cornmits a,Level 5 felony.ONTO
Signature of Seller
Signature of Seller R
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Printed Name of Seller wont con-P Date signed(mm/ddlyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
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I.,t, BUYER(S)IGRANTEE(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
James Page
Address(number and street) Address(number and street)
320 W Emerson Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton,IN 47670
Country Country I
United States
apply for certain deductions.Identify all,ofthose that apply _
Y NO CONDITION YE NO CONDITION
O 1.Will this property be the buyer's primary 0 3. Homestead
residence? 0 0 4. Solar Energy Heating or Cooling System
d2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
0 for this residence?If yes,provide address: p 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County r12- O I -I 03 -000 7-7 1 - 0 a
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