HomeMy WebLinkAboutHomestead_Kast (2) H. PREPARER
PrepArer of the Sales Disclosure Form Title
J1ai Iv rle' 10(5
Company E-mail�_ address Telephone number
( )
Address(number and street,city,state,country,and ZIP Code)
3I3 S.W¢St- 5-1. st-actt,.1 N q::-7 ,,g7
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on p
conveyance document Seller 2-Name as appears on conveyance document
Mark A. as+ i Gt i m e_ A. Kas-F
Address(number and street) Address(number and street)
313 5. \AIe5+ S.4. 313 s .west s--t-.Cit ,state,and ZIP Code City,state.and ZIP Code
1.40.Jort-alit !N '-fl 03.51 aubs-1-ac.-t /N 4763Q
Country Country
n
l�Ji Yf!Do i a
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Sign9/t//u)re of Seller//� //� Sig atu Seller
LAJC Printed Name of Seller Date signed(mm/dd/yyyy) Pr ed Name of Seller Date signed(mm/dd/yyyy)
Mark A. Keks+ l a/ s/a02 „1 aLrae, 1CQS i 7/a1
J. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENT Mai A - ' li
Bu_rer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on c. v•y. ce .oc -n
IF
ILIJ GOI-J►- I. • KOS1
Address(number and street) Address(number and street) MAR $ g022
105 S. Vonna LAM L/�//�'L '
City,__state,and ZIP Code City,state,and ZIP Code er��1� �" �_ � ""'
T IU.U.bsF-a ci /N 1-f-1�9 COUNTY AUDITOR ._
Country Country
—
Country O%BSOH
-
NO CONDITION
1.Will this property be the buyer's primary 0 3. Homestead
X 0 residence? 0 I$ 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 (ffi 5.Wind Power Device
0 for this residence? If yes, provide address: 0 Er 6. Hydroelectric Power Device
Address(number,and street) 0 $ 7. Geothermal Energy Heating or Cooling Device
Ci ,st te,a d P Code I Iv County �� `a _ ���r� ��^ _ �/�
014W 5 r 11 ti-7 3 `/ C�Abs e n (> J V 09 _
3
C •j'