HomeMy WebLinkAboutHomestead_Cundiff (2) H PREPARER
Preparer of the Sales Disclosure Form Title
J. Robert Kinkle Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
219 N. Hart Street, Princeton, IN 47670
J
SELLER(S)/GRANTOR(S)
'5-:.- , J L
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Cord M. Mapes Cheyenne B. Mapes
Address(number and street) Address(number and street)
1185W800S 1185W800S
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
USA USA
- -E-mail address
plet
+required_by law,and is prepared in`accorda nce 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,nf0411on•requlred cl be provided Scom04. Level 5 felony': • .
Signatull of SeAkA.,,,,.. Signature f eller
Printede of Seller Date si ned mm/dd/ Printed
g ( yyyy) Name of ell ! Date signe (mm/dd/yyyy)
Cord M. Mapes 62 IG/- oo),( Cheyenne B. Mapes 4 I q
J BUYER(S)toRANTEE(S):. APP4ICATION FOR PROPERTY TAX DEDUCTIONS IDENTIFY ALLTHAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2—Name as it appears on ' ' ance document
Cullen T.Cundiff
Address(number and street) Address(number and street) rr.
1185W800S , .46)1\
City,state,and ZIP Code City,state,and ZIP Code %
Fort Branch, IN 47648 C�, ���jjjj'"'
Country Country Gi - ��-e0?/
USA O'' Q
apply,for certain deductions Identify lfof a that apply
YES NO CONDITION YES NO CONDITION
Il O 1.Will this property be the buyer's primary (I O 3. Homestead
residence? O Q1 4.Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated O RI 5.Wind Power Device
for this residence?If yes, provide address: O Z 6. Hydroelectric Power Device
Address(number and street) •
0 (,(J 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County
r16r1g 2111 300 000 0011 025—
.
Page 3