HomeMy WebLinkAboutHomestead_Nicholson H. PREPARER
Preparer of the Sales Disclosure Form Title
Amanda
Address(number and street.city,stale,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville, IN 47715
C 1. SELLER(S)/GRANTOR(S) _
1 Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document T
p Elijah C.M.Wood StefaniM.Wood T T T
, Address(number and street) Address(number and street) 1 1 L
1 205 N 1st St 205 N 1st St
City,state,and ZIP Code City,state.and ZIP Code APR 2 5 2022
Owensville,IN 47665 Owensville,IN 47665
Country Country /ttt<I a )
US US Gt83ppi COUNTY AUDITOR
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.
Signature of Seller L � Signature o Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Elijah C.M.Wood 04/20/2022 Stefani M.Wood 04/20/2022 _
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
Jordan Thomas Nicholson
Address(number and stree() Address(number and street)
3677 Branchwood Dr
City.state-and ZIP Code City,state,and ZIP Code
Evansville,IN 47710
T_
Country Country
US
E-mail address
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES
NO CONDITION
O I.Will this property be the buyer's primary yf/ 0 3. Homestead
residence? b (� 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated O ® 5.Wind Power Device
O for this residence?If yes,provide address: O R 6.Hydroelectric Power Device
!9 Address(number and street) 0 [Q 7.Geothermal Energy Heating or Cooling Device
1 City,state,ZIP code.and county ab l
V -o1-101- OOO . 122- 02_2_
C