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HomeMy WebLinkAboutHomestead_Turner H. PREPARER Preparer of the Sales Disclosure Form Title Shannon Valiant Address(number and street,city,state,country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document Sydney Thomas Address(number and street) Address(number and street) 3\"V1 W.w1").&3•-.3 Cam-, crcY - 2_o8' City, State and ZIP Code City, State and ZIP Code 6.1,0,,,NSJ\- s C \ha '-t'1 ( > Country ountry E-mail address 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. Sig ture of S er / Signature of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) S ed Nh Seller 111/23/2021 111/23/2021 Sydney Thoomm ass J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY r 1 — me as it appears on conveyance document Buyer 2—Name as it aprrintnv a Jpument Alex Tur --`Kddress(number and street) Address(number and street) 107 E.Wood St. DEC 15 2021 City,State and ZIP Code City, State and ZIP Code Francisco, IN 47649 //lsc/uzce 64. � Country Country GIBSON COUNTY AUDITOR United States of America I Telephone number 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 N ._ .O DITION p 0 1. Will this property be the buyer's primary residence?��O ❑t�l"-"4. So Solar estea Energy eating or Cooling System 0 H 2. Does the buyer have a homestead to be vacated for 0 © 5. Wind Power Device this residence? If yes, provide address: 0 II 6. Hydroelectric Power Device Address(number and street) 0 LEI 7. Geothermal Energy Heating or Cooling Device City, State,and ZIP Code County -pD Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and 3