HomeMy WebLinkAboutHomestead_Tesero H. PREPARER
Preparer of the Sales Disclosure Form Title
Christina Gourley Title Clerk
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Tyler J. Mason Elyssa M. Smith
Address(number and street) Address(number and street)
--,,(2x✓vL e 35 S 5 L.,. 1 oc> V
City,state,and ZIP Code City,state,and ZIP Code
NY\el r•ii . -L Li 7670
Country Country
E-mail address
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 !sloes any Information required to be provided,commits a Level 5 felony.
Sign ure E Seller ,�r}V„[�. _ Signature of Seller
Print amine of Seller Date signed(min/dd/yyyy) Printed ame of Seller Date signed(mm/dd/yyyy)
Tyler J. Mason Elyssa M. Smith 'j-Z3--ZZ
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
Rhodora Tesero
Address(number and street) Address(number and street)
9q 5 m ;y\ 84--,
City,slate,and ZIP Code City,state,and ZIP Code
}-J�,v-\r. P,4 i^ / Ti..) y 7 ( . 7 0 C
Country Country q
E-mail address
apply for certain deductions.I Alitty 1.-those that apply'
YES NO CONDITION YES NO CONDITION aliHT
1.Will this property be the buyer's primary 0 3. Homestead Yq
O �O/ J
residence? 0 O 4.Solar Energy Heating or Cooling'Syste
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O for this residence?If yes, provide address: O C) 6. Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 6_ 1 2- I Q -10 Z-Q 0 1 . 1-8 g -G 2S
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete