HomeMy WebLinkAboutHomestead_Singer 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. SELLERS)/GRANTOR(s)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
John E. Moore Mary Ann Moore
Address(number and street) Address(number and street)
1610 W Brumfield 1610 W Brumfield
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Court T r
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Under penalties of perjury,I hereby certify this Sales Disclosure,to the 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.
Signature e .-f1`v tic IAA Signature of Seller
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Print Name of Seller Date signed(mm/dd/yyyy) Printe Na e eller Date signed(mm/dd/yyyy)
John E. Moore 2`( W- 21 Mary Ann Moore ,, js— r
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
Lynn R. Singer
Address(number and street) Address(number and street)
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City,state,and ZIP Code City,state,and ZIP Code
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Country Country
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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:
YES NO CONDITION YES NO CONDITION W
O 1.Will this property be the buyer's primary m 0 3.Homestead bp n
171
residence? 0 i1 4.Solar Energy Heating or Cooling System 0 . -co
O 2.Does the buyer have a homestead to be vacated 0 (� 5.Wind Power Device z Co ti
for this residence?If yes,provide address: 6. o
O l� Hydroelectric Power Device m tal
a
Address(number and street) 0 RI 7.Geothermal Energy Heating or Cooling DES d
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City,state,and ZIP Code County 26-11-12-104-001.840-028 m
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