HomeMy WebLinkAboutHomestead_Maldonado H. PREPARER —
Preparer of the Sales Disclosure Form Title
Courtney Pruett Title Clerk
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Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S)
Seller 1—Name as It appears on conveyance document Seller 2—Name as appears on conve nce document
Annette Frizzell
Addres'( er antstr t) Address(number and street)
Cit , • _,and ZIP Ct � L r R City,State,and ZIP Code
t iliI ♦ 1
Country Country
� Country .3
Email ddn�s
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Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belietr act,and complete as
re•uired by law,and Is pro•ared In accordance with IC 6.1.1-5.5.A person who knowingly and Intentionally fdi a alue of transferred
=al p •perty,Ar1•mits or al• : i i y Informa • • equlred to be provided,commits a Level 5 felony. • /T
Signatur•of 44 Signature of Seller
'wed Name of Se er '--to Si jmml dRyy Printed Name of Seller Date Signed(mmldd/yyyy)
Annette Frizzell - TV\ f)
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
Arachelys Cuadrado Maldonado
Address(number and street) Address(number and street)
T i rrS . c c fYNCI e lct P`Uer,
City,State,and ZIP Code City,State,and ZIP Code
Pr n G2A-oe‘ T N 4-1 (01 0
Country- (� Country
Email Address i
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Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
AC D 1.Will this property be the buyer's primary -Igt O 3. Homestead
residence? 0 O 4. Solar Energy Heating or Cooling System
O 2.Does the buyer have a homestead to be vacated 0 C) 5.Wind Power Device
for this residence? If yes, provide address: El C) 6. Hydroelectric Power Device
Address(numbering'street) 0 0 7.Geothermal Energy Heating or Cooling Device
l i?r N .air 5t
City,State,andZIP Code I I County
%Yurl.v,\\e vm , i �6-12-0-1-2,DLI -0o 3 . SRO - 028
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
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