HomeMy WebLinkAboutHomestead_Davis H. PREPARER
Preparer of the Sales Disclosure Form Title
Lindsay M. Phelps Searcher
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway Princeton, IN, USA, 47670
I. SELLER(S)JGRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Debra A. Haake
Address(number and street) Address(number and street)
504 N 3rd St
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665
Country Country
USA
E-mail address
( )
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 provided,commits a Level 5 felony.
Sig ur 4 /�] ila / Signature of Seller
Printed Name of Seller ~fir Date si ed(mm/ d/yyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Debra A. Haake aa,.
J. BUYER(S)IGRANTEE(S)—APPLICATI N FOR ROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Anthony D, Davis F I L
Address(number and street) Address(number and street) E J D
3533 Bethany Church Road
City,state,and ZIP Code City,state,and ZIP Code MAR 0 y1 2�22
Boonville, IN 47601
Country Country ry�
USA �� ,c-44r-e "% )-44-.
for certain deductions.identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 0 0 3.Homestead
residence? 0 0 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
for this residence?If yes,provide address: 0 0 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County Q6--x-t"-ol^lkO(4-- 000,' f 0-0 2,^L
3