HomeMy WebLinkAboutHomestead_Dooley 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 conveyance document
Brandon Warren
Address (number and street) Address (number and street)
406 E. Clark St.
City, State and ZIP Code City, State and ZIP Code
Owensviile, IN 47665
Country Country
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.
Sig ure of�eller Signature of Seller
�� Gv` I Date signed (mm/dd/yyyy)
Printed Name of Seller Date signed (mm/dd/yyyy) Printed Name of Seller 9
Brandon Warren 9/30/2022 ��-'"1�
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALLIF-I TTP ' `L L/document
Buyer 1 - Name as it appears on conveyance document Buyer 2 o
Name as it appears conveyance
Skyler Dooley OCT 0 6 2022
Address (number and street) Address (number and street)
1312 N. Saint James Blvd. //(ccc-1ticc-/ a. P� "4°`
' City, State and ZIP Code City, State and ZIP Code GIBSON COUNTY AUDITOR
Evansville, IN 47711
Country Country
United States of America
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
Vhf ❑ 1 Will this property be the buyer's primary residence? ❑ 3. Homestead
❑ IY1 4. Solar Energy Heating or Cooling System
❑ W 2. Does the buyer have a homestead to be vacated for 0 RI 5. Wind Power Device
this residence? If yes, provide address: ❑ p 6. Hydroelectric Power Device
Address(number and street) ❑ WI 7. Geothermal Energy Heating or Cooling Device
City State,ZIP code. and county c; _ /7 04-( --- _ w/• 90-D,- CDDA
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
3 C 0 PY