HomeMy WebLinkAboutHomestead_Stevens (5) H. PREPARER
Preparer of the Sales Disclosure Form Title
Haley Smith Escrow Officer
Company
Address(number and street,city,state,country, and ZIP Code)
7321 Eagle Crest Blvd., Suite A Evansville, IN 47715
I. SELLER(S)/GRANTOR(S) .
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Steven A. Weiss
Address(number and street) Address(number and street)
City,state, and ZIP))Code City,state,and ZIP Code
01- J�✓�3 r0Oro I iiy ya3
Country Country l
US
i.
E-mail a dr ss
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Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my k e and belitf,is true,co nd complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowin•',. intentionallyeepifies the value of transferred
real property,or omits or falsifies an A _ay information required to be provided,commits a Lev`eJ
ignature of Seller Signature of Seller U
Printed Name of signed(mm/dd/yyyy) Printed Name of Seller °/)..O- Date signed(mm/dd/yyyy)
Steven A. Weiss 3/5/2021 '�
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY T•,,\�DEDUCTIONS—IDENTIFY ALL THAT APPLY �-
Buyer 1—Name as it appears on conveyance document
/
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to ap ' for certain deductions.Identify all of thos hat appl .
YES NO CONDITION to
NO CONDITION
✓❑ ❑ 1.Will this property be the buyer's primary 2 ❑ 3. Homestead
res ence? n n 4. Solar Energy Heating or Cooling System
❑ 2. Does the buyer have a homestead to be vacated n pi 5.Wind Power Device
for this residence? If yes, provide address: n 0 6. Hydroelectric Power Device
Address(number and street) ❑ n 7. Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County, ,�_l_,
�b -Sol --coo .7 0--02k
Foreman Watson Land Title
7321 Eagle Crest Blvd., Suite A
Evansville, IN 47715