HomeMy WebLinkAboutHomestead_Cultice { H. PREPARER
Preparer of the Sales Disclosure Form I Title
Kelly Norton Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard,Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document I Seller 2—Name as appears on conveyance do ) e i
JOHN L. SHANKS KENDALL A. SHANKS
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Address(number and street) ' Address(number and street) 0
313 N Embree Street 313 N Embree Street z c lin 4
City,state.and ZIP Code City,state.and ZIP Code 0
Princeton, IN 47670 Princeton, IN 47670
Country II Country - N till I
S` IN
E-mail address 'ephone number E-mail address ' Tel®� ne number
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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. _
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Signature of Seller Signature of Seller c
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II Printed Name of Seller Date signed(mm/dd/yyyy) I Printed Name of Seller Date signed(mm/dd/yyyy)
JOHN L.SHANKS I May 27, 2022 _i_KENDALL A.SHANKS May 27, 2022 1!
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 i
BRIANNA M. CULTICE RUDY A.ZARATE
fAddress(number and street) Address(number and street)
405 E 2nd Street 3452 Falcon Avenue
City,state and ZIP Code City,state,and ZIP Code
Hazleton, IN 47640-8830 Long Beach, CA 90807-4814
Country Country
E-mail address
certain deductions.Identify all of those that apply:
YES NO CONDITION 1 YES/ NO CONDITION
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1.Will this property be the buyer's primary 3.Homestead
1L'� residence? ❑ 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device
0 for this residence? If yes,provide address: ❑ j " 6.Hydroelectric Power Device
Address(number and street) 0 or 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county g O 2-5
.—Q 3 - Q0. 0 r( 2_-o i Q
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
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