HomeMy WebLinkAboutHomestead_Georges (9) H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D.Tracey Escrow Officer
Company
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
Robert A.Tepe
Address(number and street) Address(number and street)
14161 Walcott Ave
FILED
City, StaWiand ZIP Code City, State and ZIP Code
Orlando,W 32827 ,
Country Country FEB 1 7 2'h )..
United States of America
01D3ON COU l'T pkuut 1 OK
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct ana 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 o ' or falsif' information required to be provided,commits a Level 5 felony.
nat (Delll 43,
iic,... ._
Signature of Seller
Printed ame of '"--ei r Date signed(mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Robert A.Tepe 2/11/2022 2/11/2022
J. BUYER(S)/GRANTEE(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
Mackenzie Rene Georges Justus Georges
Address(number and street) Address(number and street)
I 6(01-12. C. Mk, ca 1 0(o,-1 7— i-.F-- —7 6() --,
City,State and ZIP Code City, State and ZIP Code
•)0 °Ai<1PrArd C.44-ti DI. L/766-0 • W• C,DAirci C;11( , 11. 4/ -1(,c, o
Country Country
United States of America United States of America
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 Ycir.--NO CONDITION
!r
0 1. Will this property be the buyer's primary residence? Oye3. Homestead
•
Ca 0 rrfe/4. Solar Energy Heating or Cooling System
-,...'*-.°0 2. Does the buyer have a homestead to be vacated for
t, this residence? If yes, provide address: 1:
0 . Wind Power Device
ll..) 0 It(o 5y" ydroelectric Power Device
e.—,Address knumber and street) 0 0 7. Geothermal Energy Heating or Cooling Device
t:t IL:AP 2D'7D L—A.II \f Pact 12.,c-A
-•"e City, State ZIP code, and county
,...._ k.berikd -- ') L‘- —/ ‘--'''. -?6? -.= °-/3--420-001. VA- 00l
Under 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 Level 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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