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HomeMy WebLinkAboutHomestead_Sorrells H. PREPARER Preparer of the Sales Disclosure Form Title Amy B.Pollard Settlement Agent Company Address(number and street.city,state.country.and ZIP Code) 7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 I. SELLERS)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as. . s cy�veyance document Jordan P.Williamson L Address(number and�r )eset 4 Address(number and street) � 8885 E 550 S • . '� City,slate,and ZIP Code City.state.and Code Oakland City,IN 47660 Gil (�` —, Country Country nr G, v\ US Ov 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 n-9 /1e---e.l Printed Name of Seller Date signed(mnr/dd/yyyy) Printed Name of Setter I Date signed(mmfdd/yyyy) Jordan P.Williamson 12/18/2022 12/16/2022 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 Caleb Sorrells Ashley Bonnot Address(number and street) Address(number and street) 14589 Arcadia St NW 14589 Arcadia St NW — City,state,and ZIP Code - City.state,and ZIP Code Canal Fulton,OH 44614 Canal Fulton,OH 44614 Country --- Country US US that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary ® 0 3. Homestead CD 0 residence'? 0 IX, 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0 t 5. Wind Power Device 0 for this residence?If yes.provide address: 0 Cie+ 6. Hydroelectric Power Device Address(number and street) 0 (X 7.Geothermal,, Energy Heating or Cooling Device City.state.ZIP code.and county c V - 7.-c3 — t V--t O0- 0 0 1, T-.8-©Q I Under penalties of perjury.I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete Page 3 of 5 copy