HomeMy WebLinkAboutHomestead_Kasper H. PREPARER
Preparer of the Sales Disclosure Form Title
Kelly Norton Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard,Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document. Seller 2-Name as appears on conveyance document
CAMERON LEON MESSEMAN MAKAYLA A. 70191199fd DARNELL
Address(number and street) Address(number and street)
1104 South Race Street 1104 South Race Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670-3032 Princeton, IN 47670-3032
Country Country
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 Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
CAMERON LEON MESSEMAN January 20,2021 MAKAYLA A. DARNELL January 20,2021
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
KAYLA D. KASPER
Address(number and street) Address(number and street)
1104 South Race Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670-3032
Country Country
E-mail address , mail address Telephone numb
tcn
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: n
111
YES NO CONDITION YES NO CONDITION o w H
�❑ 1.Will this property be the buyer's primary �❑ 3.Homestead z w rl
residence? w
ID 4.Solar Energy Heating or Cooling System
c
d
J
❑ 2.Does the buyer have a homestead to be vacated 0 [� 5.Wind Power Device g
IL?r for this residence?If yes,provide address: ❑ _ Er 6.Hydroelectric Power Device 1 -
Address(number and street) 0 EllS/7,Geothermal Energy Heating or Cooling Revice
City,state,and ZIP Code
.
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