HomeMy WebLinkAboutHomestead_Naas 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)/GRANTER(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Sherri Folsom
AddrQgs(qumbEand�tr (J! w ^f - /2* Address(number and street)
City,(tsltta►tte11,.�ro ri CUoB`Y zwic/�lJt ` (1 City,state,and ZIP Code
Country 1 N=��� I k v Country
E-mail address
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 Signature of Seller
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Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Sherri Folsom 06/17/2022
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
Sandra D. Naas Pamela K. Payne
Address(number and street) Address(number and street)
2703 West State Road 68 2703 West State Road 68
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt Indiana 47639 Haubstadt Indiana 47639
Country Country
US
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 a •
YES NO CONDITION YES NO CONDITION Irk1 O
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O O 1.Will this property be the buyer's primary CI 0 3. Homestead N o
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residence? o
0 O 4.Solar Energy Heating or Cooling N
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2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device 'z
'� 0 for this residence? If yes,provide address: p l 6. Hydroelectric Power Device z o
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Address(number and street) 0 C) 7.Geothermal Energy Heating or C ling evican zo
City,state,ZIP code,and county m
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