HomeMy WebLinkAboutHomestead_Taylor (9) H. PREPARER
Preparer of the Sales Disclosure Form Title
Hunter D Crays Closer
E-mail address
Dubois County Title
Address(number and street,city,state,country,and ZIP Code)
606 Main St. Jasper, IN 47546
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on c nce document
Pauline L.Crawford (/
Address(number and street),`/�'� Address(number and street) 4.4:0
,Y t e IV . e ` City,state,and ZIP Code ✓qN q
oy,state,and nZIP ode yA r oy.'7 E J j .Gb+
unt t/ I 1� /V "7 [(f Country Gi-Q, _`� 2p240
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Under penalties of perjury,I hereby certify this Sales Disclosure,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 providd,co Signature its ot a Level 5 felony.
Alr gna r1 , (r -\ 1 t=si Printed Name of Seller Date signed(mm/dd/yyyy)
''rint-• Name of Seller\I\ i` �I Date-te signed(mmidd/yyyy)
1-- line L. Crawford I01/24/2022
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY B AX DEDUCTIONS s it ap—IDEars NTIFY n Q ante THAT
docu APPLY
ent
Buyer 1-Name as it appears on conveyance document Haleyr S.Taylor
Jacob Taylor
Address(number and street) Address(number and street)
li 1? 5• /111 ct,„ 51 same
City,state,and ZIP Code City,state,and ZIP Code
oW r°„5 tr;l Ai)1 I , '1 7 b6 r Country
Country
( )
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 YE / NO CONDITION
�r (] 3.Homestead
1.Will this property be the buyer's primary
residence? 0 ill 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated
0 '5.Wind Power Device
for this residence?If yes,provide address: O Hydroelectric Power Device
Ad s er an street) 0 t/"7.Geothermal Energy Heating or Cooling Device
/ rta� l I(S
Cty,state,ZIP code,and county 1 T —`Z—ZQ 1,,� 1�� -2-4—d 7 2
�tpincf e / � �`` `a
Un er penalties of perjury,I hereby certify that this Sales Disclosure,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 Levet 5 felony.(Note:Both spouse's
information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
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