HomeMy WebLinkAboutHomestead_Starnes H. PREPARER
Preparer of the Sales Disclosure Form Title
Kandace Rogers Closing Agent
Company
Address(number and street,city,state, country, and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S) C> u
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance doc +J
Bruce Allen Wheatley Sandra Sauley Wheatley cn
co uu
Address(number and street) Address(number and street) z r' i
16 Cabrillo Way 16 Cabrillo Way y, _
City,state,and ZIP Code City,state,and ZIP Code Z �.
Fredericksburg, VA 22406 Fredericksburg, VA 22406 -1-
Country ry
0
Country )2. a
toll
USA USA g
best of my knowledge and belief,Is true,correct and complete as
r ed 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 pr erty,or omits or falsifies any information required to be provided,commits a Level 5 felony.
`Sign re of S er/ . ) ignature of
It t//lLifl� 1,,3
Panted N me of Seller Da si ned( dd/yyyy) Printed Name of Seller Da a signed(mm/dd/ y)
Bruce Allen Wheatley /0/z,'f .22_ Sandra Sauley Wheatley r d-Z 7— Z d Z 2
J. BUYER(S)/GRAN TEE 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
Logan Starnes
Address(number and street) Address(number and street)
1704 Kennedy Drive
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
NO CONDITION
1.Will this property be the buyer's primary ❑. CI3.Homestead
0 I I residence? ❑ Q 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated ❑ El 5.Wind Power Device
D for this residence? If yes,provide address: ❑ El 6.Hydroelectric Power Device
Address(number and street) ❑ OX 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county Q6- 12.OS'-'20 Z_ 002_- g 3 2- (: •
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
C . PY`T