HomeMy WebLinkAboutHomestead_Metropol H. PREPARER
Preparer of the Sales—�^Disclosure Form Title ��rr??
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Company E-mail address
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
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Seller 1 Name— as it appears on conveyance document Seller 2—Name as it a ea n o e a d ID ent
Jerrad L.Anderson
Address(number and street) Address(number and street) MAR 17 2022
6981 W.450 S. 2 02
City, State and ZIP Code City, State and ZIP Code a. LYcvna)
Owensville, IN 47665 nITOR
Country Country GIBSUI COUNTY PU
United States of America
E-mail address
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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 provided,commits a Level 5 felony.
Xature of Signature of Seller
Printe ame of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Jerrad L.Anderson 3/3/2022 3/3/2022
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
Garrett Metropol
Address(number and street) Address(number and street)
5301 W Spring Creek Pkwy,Apt 1621
City.State and ZIP Code City, State and ZIP Code
Plano,TX 75024
Country
Country C OPY
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 YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary residence? 0 El 3. Homestead
El 0 4. Solar Energy Heating or Cooling System
El 0 2. Does the buyer have a homestead to be vacated for 0 0 5. Wind Power Device
this residence? If yes, provide address: ❑ El 6. Hydroelectric Power Device
Address(number and street) ❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code,and county
a-10--36-400-0o i ,822-0 21
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