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HomeMy WebLinkAboutHomestead_Eads ♦': .: !, w .� q _ i vEp,,�v a h�;F �.�� ic- 7`1a �5' r r��?,r _ _ -_ _ _ - f ,-.-.: <, -,...G�fi� id�,.?5.;"ram -�♦ '�'"1� �' -0—;� `yIZ:x, :.: < ai*s:',6'` ;;;; .':. H: PREPARER f- ' , Preparer of the Sales Disclosure Form Title Jill Gillian Deed Specialist Company Email Address Address (number and street, city, state, country, and ZIP Code) 660 Woodward Avenue, Detroit, MI 48226 • . F). . rr �a�,.1 1;. , h � t t y.Y S +.r•.: SELLER(S)/GRA..*NTOR�(S ? • I %.:, yV ♦ . �+- : �' ' n k . )i M� Sl r r I nat4;.:•*a .' -r . .b ,z � ir�_ 1� ,31 5R: •" SC '<'�ea .5. 4a ..•+7'.. YS� T fr �- �Vf0 �4.♦ 3�.?`4p'S?!i J,sf• f Seller 1 - Name as it appears on conveyance document Seller 2--Name as appears on conveyance document Melissa A. Eads Daniel L. Eads Address (number and street) Address (number and street) 600 South Main Street 315 East 11 th Street City, State, and ZIP Code City, State, and ZIP Code y, Fort Branch, IN 47648 Mt. Carmel, IL 62863 Country Country Email Address .'required by law, and is prepared In accordance with IC 6-1.1-5.5. A person,who knowingly and intentlonallycfalslfies the value of transferred rea proiierty, or omits or fats ios any information.required to;be provided;commits a Level 5 felony. `'- 4 ,K,. ,..,M;o?. V 4;3�0 'i..!_! ;? Sigi : 4Seller - nature ell 11 ► ► - VL` Printe 1.: - of Seller I Date S gned ( m/ddlyyyy) inted Name of Seiler Date Signed (mmi d/yyyy) Melissa ; . Eads D Daniel L. Eads l ddtr ' 'J.;:BUYER(S)/GRANTEE(S)I—j 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 Melissa A. Eads Address (number and street) Address(number and street) 600 South Main Street _ JJ City, State, and ZIP Code City, State, and ZIP Code Fort Branch, IN 47648 -kb Country Country Sep _ Email Address ? ( 5 ) Pursuant to IC`6al l.12-44,the Sales Disclosure Form may be_uused to appl for cer y tair1 s. Identify`atl:of those that1apply: ra:•,. YES NO CONDITION YES NO CO 1. Will this property be the buyer's primary C� O 3. Homeste V7-,_`4".". (2 � residence? � 0 0 4. Solar Energy He ',► i = soling System R © 2. Does the buyer have a homestead to be vacated 0 0 5. Wind Power Device o for this residence? If yes, provide address: 0 0 6. Hydroelectric Power Device Address (number and street) 0 0 T. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County fit ' 14 - Z4 -mod 000 . 1- 511 -62 • � —/