HomeMy WebLinkAboutHomestead_Graceffa H. PREPARER
Preparer of the Sales Disclosure Form Title
Micah Scott Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd. Evansville, IN 47715
I. SELLER(S)/GRANTOR(S) TT T
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on�nvef�nn doc nt�
Brenda E. Huston 1f� 1 L J
Address
dd e2(punfbgr and street)) Address(number and street) 'I I N 0 20?2
CC... k',h. (+ J
Ci fate, nd ZIP Go,de Y7k
� City,state,and ZIP Code
`ya- sif ; ► �ti c
CO Zry • C I Country /h e-/t4Jf a. .��.t1f�;,,,a)
/�J G►BSON COUNTY AUDITOR
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 accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits orfalsifi any information required to be provided,commits a Level 5 felony.
Si ure of Seller/
/1 �.�% i�/ 1 Signature of Seller
anted Name of Selle �Z„TD'avte/signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Brenda E. Huston 06/03/2022
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
Richard Graceffa Nikki K. Graceffa
Address(number and street) Address(number and street)
2120 Ashton Court 2120 Ashton Court
City,state,and ZIP Code City,state,and ZIP Code
Princeton Indiana 47670 Princeton Indiana 47670
Country Country
US US
E-mail address ,f]/
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
CIO 1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 0 4. Solar Energy Heating or Cooling System
0 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence? If yes,provide address: p C) 6. Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
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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