HomeMy WebLinkAboutHomestead_Seramur (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Leon C. Stone President
Company E-mail address
Address(number and street,city,state,country,and ZIP Code)
226 West Broadway Street, 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
Allison Julie Lee f/k/a Allison Julie Brewster
Address(number and street) Address(number and street)
531 W. Sherman Street
•
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660
Country Country
United States of America
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
r5atIf,1plle
property,
or o is or falsifies a information required to be provided,commits a Level 5 felony.
/r Signature of Seller
Printed Name of her t Dates ned m/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Allison Julie Lee /k/a Allison Julie Brewster / ai gji
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
Shelby L. Seramur
Address(number and street) Address(number and street)
119 E. Pine Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
United States of America
E-mail address
apply for certain deductions.Identify all of those that apply: 2
YES NO CONDITION YES NO CONDITION CO
0 O 1.Will this property be the buyer's primary 23 0 3.Homestead z a) hj
residence? 0 21 4.Solar Energy Heating or Cooling System o co H
O 2.Does the buyer have a homestead to be vacated 0 L i 5.Wind Power Device ki N
tZi
for this residence?if yes, provide address: D
0 6.Hydroelectric Power Device
Address(number and street)
0 21 7.Geothermal Energy Heating or Cooling Doi .
53
City,state,and ZIP Code County c)
26-14-18-301-000.736-007
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