HomeMy WebLinkAboutHomestead_Hunt (4) 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�documdo�e
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Estate of Ronald Lynn Clark, deceased
Address (number and street) Address (number and street)
919 Hghland Ave.
City, State and ZIP Code City, State and ZIP Code NOV 2 2 2022 c.\
Oakland City, IN 47660
Country
Country ..c' � t`i�na .
United States of America GI SON COUNTT AUDITO.
E-mail address Telephone number E-mail address Telephone number
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
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Printed Name of Seller
Date signed(mm/dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Barron Clark, Personal Representative
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
Jenna Hunt Wyatt Hunt
Address (number and street) Address (number and street)
88 W. 800 S., Unit 330S 88 W. 800 S., Unit 330S
City, State and ZIP Code City, State and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
United States of America United States of America
YES NO CONDITION YES NO CONDITION
71 ❑ 1. Will this property be the buyer's primary residence? El ❑ 3. Homestead
❑ El 4. Solar Energy Heating or Cooling System
❑ El 2. Does the buyer have a homestead to be vacated for ❑ El 5. Wind Power Device
this residence? If yes, provide address: ❑ El 6. Hydroelectric Power Device
Address(number and street) ❑ El 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county
1 G-\1-\- kS - \d 2-000 . 7-12- -0C)9 •
-
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
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