HomeMy WebLinkAboutHomestead_Allen (8) H. PREPARER
Preparer of the Sales Disclosure Form Title
Christina Gourley Title Clerk
Company
Address(number and street,city,state, country, and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Christopher M. Marsh Misti D. Marsh
Address(number and street) Address(number and street)
z f636 i ��� Dr,
C ,state,and ZIP Code City,state,and ZIP Code K/
iiir,r-- c-e 7`0‘1.,..Z /(/ `fT‘TO 1
Country Country
rruut/t/ �,.
0-
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 prop ,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Sign of Sell r Signatu of Seller
inted Name eller Date signed(mm/dd/yyyy) Printed Name of Seller Date 7 ned( m/dd/yyyy)
Christopher M. Marsh i t7 If/4/2 2- Misti D. Marsh I 1 t''Z-2—
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
Zachery F. Allen FILED
Address(numb and street) Address(number and street)
? 00 S�\Gct S-t-ree_t-
r�rrity,sta e,and ZIP Code City,state,and ZIP Code APR 2 7 2022
1'r?r -2 VG n, '� N Lt17-(Q
Country ( 1 /� Country /� t
E-mail address\/ `�
( )
P uant 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:
x
YESr 0 3. Homestead
NO CONDITION S NO CONDITION
1.Will this property be the buyer s primary residence? 0 CI 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes, provide address: p p 6. Hydroelectric Power Device
Address(number and street) CI C) 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
DL-\Z-li -1-00 -ovo .Lt8:t--0ZS
of 5 "".� ,
r.
:r