HomeMy WebLinkAboutHomestead_Watts H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D.Tracey 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
Lori L.Watts
Adcitogaumityr an yheet,(/ Address (number and street)
Cit State and IP Code ; , � � City, State and ZIP Code
it/ ra//�1/ - Ni ,
Country Country
O it,
E-mail address
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 prop-rty,or omits or falsifies any information required to be provided,commits a Level 5 felony.
S �-41- f`��or,``) /1 , Signature of Seller
i .-rinted Name of Seller Date signed(mm(dd/yyyy) Printed Name of Seller I Date signed(mm/dd/yyyy)
Lori L.Watts I b-1- . -----
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
Christopher S.Watts FILED
Address (number and street) Address (number and street)
305 S. Hillcrest St.
City, State and ZIP Code City, State and ZIP Code OCT 18 2022
Fort Branch, IN 47648
Country Country I'! �vrw
used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Ll ❑ 1. Will this property be the buyer's primary residence? El 0 3. Homestead
0 El 4. Solar Energy Heating or Cooling System
0 El 2. Does the buyer have a homestead to be vacated for 0 El 5. Wind Power Device
this residence? If yes, provide address:
0 El 6. Hydroelectric Power Device
Address(number and street) 0 El 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county �-( O-
- 1( lD cD - Occ9- 3-7-0.4 6,
COPY