HomeMy WebLinkAboutHomestead_McFall H. PREPARER
Preparerof the S Disclosure Four Title
a CAS
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd Ste 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Jeanette LaMar IN Bryce Taylor;41 F
Address(number and street). Address(number and street)
603 W Pinkney St
City,state,and ZIP Code City,state,and ZIP Code
Princeton,IN 47670
Country A Country
E-mail address Ar
Under penalties of perjury,I hereby,certify this sates Disclosure,toithe best of my knowledge and belief,is:true;_correct and complete as
required bylaw,and is prepared.in.accordance withIC 6-1.1-5i5.A person who:knowingly and intentionally'falsifies the value'of.transferred
real property,or omits:or:falsifies any informatIonf.required to be provided,.commits a Level 5'felony.
39 nature of Seller �' Signature of Seller
JP di. , -�=
of eller /
Printed Name [ ate signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Jeanette LaMar by Br ce. ajr/orr IF 03/01/21 03/01/21
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 McFall
Address(number and street) Address(number and street)
6781 W North St
City,state,and ZIP Code City,state,and ZIP Code
Owensville,IN 47665
Country )&) p 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::
YES NO CONDITION YES NO CONDITION 135
1.Will this property be the buyer's primary O 3. Homestead z K h
O. residence?
0 4.Solar Energy Heating or Cooling System. 8 o f,
2.Does the buyer have a homestead to be vacated 0 q( 5.Wind Power Device z o r
Q for this residence? If yes, provide address: 0 11 .6. Hydroelectric Power Device D r
c C
Address(number and street)' O ( 7.Geothermal Energy Heating or Cooling Di
O
t:
City,state,and ZIP Code County 0
26-12-07-303-001.539-028 co
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