HomeMy WebLinkAboutHomestead_Villalobos (4) 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 St, Princeton, IN, USA, 47670
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
David L. Fithian
Address(number and street) Address(number and street)
1013 W Broadway St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN,
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 fa sifie ny information required to be provided,commits a Level 5 felony.
Sign f S I - Signature of Seller
Prin ed Name of er Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
David L. Fithian - .3l)8. g_
J. BUYER(S)/GRANTEE(S)—APPLICATION1FOR 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
Oscar S.Villalobos
Address(number and street) Address(number and street)
1013 W Broadway St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
USA
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
D O 1.Will this property be the buyer's primary 1 0 3. Homestead T�"'''1' I cO
residence? O O 4.Solar Energy Heating or Cooling
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device W o�
0 for this residence?If yes,provide address: O E 6. Hydroelectric Power Device op N
Address(number and street) ._.i �,
0 O 7.Geothermal Energy Heating or Ccevic� 0
uu
Q U City,state,ZIP code,and county Z
22- 1- 12- 4D2- 09)- 1)7 -K
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete