HomeMy WebLinkAboutHomestead_Mitchell (12) H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S) ��
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on ve,Ir�eoJe�t ■
Amy Virginia Svestka Jessica P. Miller d
Address(number and street) Address (number and street) AUG 1 8 2022
222 S Race Street 222 S Race Street
City, State and ZIP Code City, State and ZIP Code %' e.-2- v{�
Princeton, IN 47670 Princeton, IN 47670 Glas COuroTY �-`4
Country
Country AUDITOR
United States of America United States of America
E-mail address Telephone number E-mail address Telephone number
(618)240-4938
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 omi s or falsifies any information required to be provided,commits a Level 5 felony.
g re of e / i 2 jit /:)1 X r ��� .
Printed Narrfe of Sell/le Date signed(mm/dd/yyyy) Prin -q.4- e of Seller I Date signed(mm/dd/yyyy)
Amy Virginia Svestka 8/5/2022 Jess,•= P. Miller 8/5/2022
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
Steven Mitchell Christine Mitchell
Address (number and street) Address (number and street)
508 Parkview Di- 6-02 Pollute... ) Z',—
City, State and ZIP Code City, State and ZIP Code
Wash I Avian, -2-Z. 6 /57/ lad hi ez►^, ZL 6/57/
Country Country
United States of America United States of America
E-mail address
l -' s7 was
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 ,,
p ❑ 1. Will this property be the buyer's primary residence? El El 3. Homestead •
❑ El 4. Solar Energy Heating or Cooling System '"
0 El 2. Does the buyer have a homestead to be vacated for ❑ El 5. Wind Power Device
this residence? If yes, provide address: ❑ El 6. Hydroelectric Power Device
Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county /c —07 - '(d(-cL , �S. _b .)tJ
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