HomeMy WebLinkAboutHomestead_Denney H. PREPARER
Preparer of the Sales Disclosure Form Title
Patti Kolb Closing Manager
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway St., Princeton, IN 47670
I.SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Robyn Lyn Slayton
Address(number and street) • - Address(number and street)
ROB Gard, \r>,,fir)VC)
City,state,and ZIP Code City,state,and ZIP Code
evoirm1 ltre.) 1 N1 14-Z-1 IS
Country t&p Country
E-mail address
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.
S' ture cf Seller u Signature of Seller
Printed Name of Iler r 6\._
Date i ned(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Robyn Lyn yton 1/15/2021
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
Delpha Denney by Deborah Whitmore POA
Address(number and street) Address(number and street)
11609 S 150 E
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt, IN 47639
Country Country
USA
E-mail address
( )
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: r,
YES NO CONDITION YES NO CONDITION W
El O 1.Will this property be the buyer's primary WI 0 3.Homestead z c_
m
rzi
residence? 0 i I 4.Solar Energy Heating or Cooling System 8 - N H
0 0 2.Does the buyer have a homestead to be vacated 0 WI 5.Wind Power Device z N L-I
for this residence?If yes,provide address: 0 WI 6.Hydroelectric Power Device n% 2 tli
Address(number and street) 0 Qj 7.Geothermal Energy Heating or Cooling De�_sila
City,state,and ZIP Code County 26-12-07-204-000.993-028 o
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