HomeMy WebLinkAboutHomestead_Ritchey - a
H. PREPARER
Proparor of the Sales Disclosure Form Title
Christina Lenfers Settlement Agent
Company E-mail address
Bosse Title Company
Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Lane Newburgh,IN 47630 — '
I SELLER(S)(GRANTOR(S)
Salter i -Name as it appears on conveyance document Setter 2-Name as appears on conveyance document
Dustin P.Bedell _ _._ _ _
Address(number and Street) Address(number and street)
5894 S.100 E.
City,slate,and ZIP Code City.stale,and ZIP Code
Fort Branch,IN 47648
Country Country
US _
E-mail address
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 inform ation required to be provided,commits a Level 6 felony.
Sig Murj Seller • r"P.
Signature of Seiler
Printed Name ofSalter ! die signed(mmiddlyyyy) Printed Name of Seller Date signed(mmlddlyyyy)
Dustin P.Bedell 12/22/2021_ _,12/22/2021
,
J. BUYER(SYGRANTEE(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
Dakota Ritchey Shelby Forston
Address(number And street) Address(number and street)
4701 Sweetser Ave. 4701 Sweetser Ave.
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch,IN 47648 Fort Branch,IN 47648
Country Country
US US
—
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION oa
GO (a CD 3.Homestead p p
Q 1,Will this property be the buyer's primary
residence? 0 t 4.Solar Energy Heating or Cooling Sy o i, H
012L0I 2.Does the buyer have a homestead to be vacated5.Wind Power Device G z O°CD il i
for this residence?If yes,provide address: 0 111 6.Hydroelectric Power Device MI
La
Address(number and street) 0 (21 7.Geothermal Energy Heating or Cooe ce
o • -
County 26-19-08-200-000.079-025 x
City,slate,and ZIP Code c)
herebyco
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asrequiredr