HomeMy WebLinkAboutHomestead_Ehrenberg H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state, country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 2—Name as appears on conveyance document
Seller 1 —Name as it appears on conveyance document Lisa Ehrenberg
Kent Ehrenberg
Address(number and street) Address(number and street)
10156 East McLellan Road 10156 East McLellan Road
City,state,and ZIP Code City,state,and ZIP Code
Mesa,AZ 85207 Mesa, AZ 85207
Country Country
US US
Telephone number E-mail address Telephone number
( )E-mail address ( )
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 omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
Printed Name of Seller
Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)Kent Ehrenberg Oct 11`I 12o2z Lisa Ehrenberg 09 Ic1 12022
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
Allison A. Ehrenberg FILED--
Address
C^ (number and street) Address(number and street)
5c MV br�� SY City,state,and ZIP Code
City,state,,and ZIP Code SEP 2 2022
T7rcncsL�e ll , - N 471 1 a-7 n
Country Country
US US ������{{(
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary
C) 00 3. Homestead
A. � r sidence? 0 O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
0 for this residence? If yes,provide address: 0 f 6. Hydroelectric Power Device
Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county ar„_ l L—01—3 O — O o` _ 6 Lig — v
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
C PY
_..
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