HomeMy WebLinkAboutHomestead_Mays H. PREPARER
j Preparer of the Sales Disclosure Form Title
Donna Zehner Processor
Company
Address(number and street,city,state,country,and ZIP Code)
2301 N.Burkhardt Road,Evansville,IN,USA 47715
J
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Carson L.Colles Aseia Colles
Address(number and street) Address(number and street)
13 IQ ReC1 hY .0
City,state,and ZIP Code Ci �Code
---)0 fw 10f 40 SOcf
r
Country Country
E-mail address
( )
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.
Si• aturee ell- lle4_ vSig re of Sell r
rinted Name of Seller Date signed(mm/dd/yyyy) Printed Name eller Date signed(mm/dd/yyyy)
i Carson L.Colles a-A 5'), I Aseia Colles cD- ).5-— 1
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
I Jordan Mays Katherine Mays
Address(numb r and street) Address(number ands --t)
do S Po roar Ji-
City,state,and ZIP Code City `• ,. A#C••e
Country Country
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: 0
u7 YES NO CONDITION YES NO CONDITION Ea
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v 0 3.Homestead O m
0 1.Will this property be the buyer's primary Z 17
G 1 residence?
M 1
0 qf 4.Solar Energy Heating or Cooling System 8 w f'
o 2.Does the buyer have a homestead to be vacated 5.Wind Power Device N r
C for this residence?If yes,provide address: 0 47 6.Hydroelectric Power Device D 2
0 Address(number and street) p , 7.Geothermal Energy Heating or Cooling D®✓ C
,i 1 1 I 5. Cro s 5-�-. o
o City,state,and ZIP Code , County X
26-17-01-404-000.306-022 n
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