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HomeMy WebLinkAboutHomestead_Riggs • H. PREPARER Preparer of the Sales Disclosure Form Title Lana Harper Company E-mail address Address(number and street,city,state,country,and ZIP Code) 5231 Oak Grove Road,Suite A,Evansville,IN 47715 I. SELLER(S)IGRANTOR(S) Seller 1—Name as it appears on conveyance document Nathan Long Seller 2—Name as appears on conveyance document Address(number and street) Address(number and street) City,state,and ZiP Code City,state,and ZIP Code Country Country i United States of America United States of America _ E-mail address Telephone number E-mail address Telephone number 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 S felony. Signature of Seller Signature of Seller Printed Name of Seller Date signed(mm/ddtyyyy) Printed Name of Seller Date signed(mm/dd/yyyy) Nathan Long • 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 appears on conveyance document Jon Riggs Address(number and street) Address(number and street) 111 S.Third Ave City,state,and ZIP Code City,state,and ZIP Code Oakland City,IN 47660 Country Country I United States of America United States of America 1 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: 0 YES NO CONDITION YES_ NO CONDITION c ❑ 3. Homestead T A 0 1.Will this property be the buyer's primary residence? - v ❑ 4.Solar Energy Heating or Cooling Systet8 — H. j�,/ 2.Does the buyer have a homestead to be vacated for El 5.Wind Power Device z Iv r: e� ❑ this residence?if yes,provide address:\Blvd 0 6.Hydroelectric Power Device y ►© �I Ad (n nd so) 0 7.Geothermal Energy Heating or Cooling �1 Ci a and ZI Coe � n 26-13-13-402-000.708-007 0 �