HomeMy WebLinkAboutHomestead_Woods (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Amanda Daly_ Settlement Agent
Company
Address(number and street.city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLER(S)IGRANTOR(S)
Seller 1-Name as it appears on conveyance document Seiler 2-Name as appears on conveyance d
Greg Allen Rochleau I Kelly Renae Rochleau JUL
Address(number and street) 1 Address(number and street) ?10p
1356 S Old SR 65 1356 S Old SR 65
Princeton,slate.IN 47670Code City.PPrinceton, IN 47670 Code GtBgON Pcoku„v
�D OF
Country Country
US US
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. ih,IL-011,“/Sign ue of Seller — Sig-i lure of elle���Qin eller l/J/) U
tinted Na f Seller Date signed(mm/ddrvyvv1 interr4,ame f alter Date signed(mm`ddiyvyy)
Greg Allen Rochleau 07/I4('7.02`.. 1. Kelly KKF.toa,s ochleau 07/NJ -33-Z„„ _ _�
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
Bradley J.Woods Amanda D.Downey
rt Addre (numb r and street) Address(number and street)
�16 Glr-�olQle_ 5f-, - -
Crt ,slate,and ZIP Code ,/ City.state,and ZIP Code
CoE r,'rn c-elb. /v 41-76762
_
‘ Country Country
QC, US US
those that apply:
YES NO CONDITION _ YES NO CONDITION
C�
i 1.Will this property be the buyer's primary (I) 3. Homestead
0 residence?
4.Solar Energy Heating or Cooling System
M2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device
,........tofor this residence? If yes,provide address: 0 6. Hydroelectric Power Device
r dress(numb r�n d sileee c 0 7.Geothermal Energy Heating or Cooling Device
states.7IP code.and county ` 1^ \7-lt O o '00 0
3 6_ 0,2-
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
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