HomeMy WebLinkAboutHomestead_James (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Sherri Hudson vV_._. .__. ..,u_ __-- _--. Settlement Agent
Company Email address
Address(number and street,city,state,country,end ZIP Code)
2301 N.Burkhardt Road,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1,Name as it appears on conveyance document Seller 2-Name as appears on conveys o men!
Tho Estate of Nancy Sue Takacs
Address(number and street) Address(number and street)
2002 W.Glenwood Dr.
City,state,and ZIP Code City,slate,and ZIP Code /yAR
Princeton,IN 47670 19
Country Country
US G188
E-mail address
the boat of my knowledge end belief,Is true,corrocPhir►'i omploto 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,
S'In re f Se r Signature of Seller
Print d Name of Sailer Date signed(mr/dd/yyyy) Printed Name of Seller Data signed(mmfddlyyyy)
Stephen Lucas,Personal Representative 03/27/2023 03/27/2023
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
Kayla Elizabeth James
Address(number and street) Address(number and street)
88 W.600 S
City,state,and ZIP Code City,slate,and ZIP Code
Fort Branch,IN 47648
Country Country
US
to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION S NO CONDITION
1.Will this property be the buyer's primary 0 3. Homestead
residence? D ® 4.Solar Energy Heating or Cooling System
® 2. Does the buyer have a homestead to be vacated 0 l 5.Wind Power Device
for this residence?If yes,provide address: 0 ® 6.Hydroelectric Power Device
Address(number and street) 0 ® 7,Geothermal Energy Heating or Cooling Device
City,state.ZIP code,and county ) - I I — I'Z 1O��=00 0 113 6 v 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
Last 5 Digits of Buyer 2/Spouse SSN1Driver's License/ID/Other Number
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