Homestead_Coons H. PREPARER
Preparer of the Sales Disclosure Form TitleClosing Agent
Donna Zehner
First Advantage Title Services, LLC
Address(number and street,city,state,country,and ZIP Code)
2301 N Burkhardt Rd Evansville IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document
Seller 2-Name as appears on conveya a document
Equitypoint Fund 3, LLC
Adj
Addressess(number and street) Address(number and street)
fr
sty,state,and ZIP Code City,state,and ZIP Code ./UC
-16:0
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'Country i.GNj�11 % 7S i 1 Country C`'I@�"er- �Z0ZZ
' $ E-mail address OVHT hone n
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the best of my knowledge and belief,is true,correctgliiitl 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,dler
come it ts a Level 5 felony.
Si natur of Iler S�}
K e v Printed Name of Seller I Date signed(mm/dd/yyyy)
Hinted Name of SellerR ate signed(mm/dd/yyyy)
Matt Buckels, Manager 7 7-2-1--
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS eIIDEo IDENTIFY
ALL THAT
docu APPLY
ent
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears
Sarah B. Coons
Dusten D. Coons
e7^n Address(numberand street)
Address(number and street) .Ip
City,state,and ZIP ode ju ,i1Y `�
City,state,and ZIP Code �] nLd 4 1 t0 q a IN Y'
\7 nc "'r r�r �1 Country
Country
E-mail address Telephone number
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
O 3. Homestead
0
O
1.Will this property be the buyer's primary
O residence? 4.Solar Energy Heating or Cooling System
O O 5.Wind Power Device
2.
O Does the buyerIf have rovidehomestead to bes: vacated O Cl 6. Hydroelectric Power Device
for this residence? If yes,provide address:
Address(number and street) 0 p 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county a e-1'Z-0. - 300-0O2_. 02 3- - O"2.Th .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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