Loading...
Homestead_Spencer 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 Randall W. Duncan Kimberly S. Duncan Address(number and street) Address(number and street a 4-b q • af .-e-e iQ & y City,s ,and ZIP de Ci tate,and ZIP Code eF21.v r —r 4 N "--- _ 4'7,743 co. / 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 o falsifies any Information required to be provided,corn Its a Level 5 felony. ;--a re of Sell �> Stg to of S ered ame of slier ' Date signs (m ri/yyyy) Prince Name of Sells n Date ign r I y�„) Randall W. Duncan / eil a. ,Kimberly S. D a /.� J. BUYER(S)/GRANTEE(S)-APPLICAT N R 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 John David Spencer, II Heather Nicole Spencer Address(number and street) Address(number and street) 221 W Monroe St 221 W Monroe St City,state,and ZIP Cod Princeton, in 47670 City,state,and ZIP Code Princeton, in 47670 C nt 11" (J E-mail address to apply for cert ductione.Id hose that apply: YES NO CONDITION YES NO 0 ONDITICN L r? 1.Will this property be the buyer's primary ,1-J" 0 t�HomeCtZad �J\ z O O residence? N 0 p �4larrgy g or Cooling System 09 O Tndi� 2. Does the buyer have a homestead to be vacatedower i>O O for this residence?If yes,provide address: O pdroelectric '•, er Device J 0Ay r (nreratrylstr e O O 7.-Geothermal Energy Heating or Cooling Device AR e �i `-., Ci ate ZIP de,and co n y q( ,1 _� y _�O1, - S O � _Q2B I� �c , 1 -/ i t� "�(o-1 C) d� l `i t Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete (J 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 � Page 3 of 5 C 0 Pv