HomeMy WebLinkAboutHomestead_Bradshaw (4) H. PREPARER
.
Preparer of the Sales Disclosure Form Title
Lindsay M. Phelps Searcher
Company
Address(number and street,city,state, country,and ZIP Code)
226 W Broadway Street, Princeton, IN, USA, 47670 .
I. SELLER(S}IGRANTOR(S)
•
Seller 1 —Name as it appears on conveyance document Seller 2.—Name as appears on conveyance document
Jody Whitehead
Address(number and street) Address(number and street)
203 S Barnes Street
City,state,and ZIP Code. City,state,and ZIP Code
Patoka, IN 47666..
Country Country -
USA
E-mail address
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 inf o quired to be provided,commits a Level 5 felony.
3 gna • e of Seller Signature of Seller
Prin ed 'ame owi4k..A....4,
ler Date si ed nn ld Printed Name of Seller Date signed(mm/dd/yyyy)
( Y Y 9 ( YYYY)
Jody Whiteh )— _
J. BUYER(S)IGRANTEE(S)—APPLICATI N FOR ROPERTY TAX DEDUCTIONS-IDENTI L T APPLY
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears o{�conveya o u n
Rylee Bradshaw: '4,1
Address(number and street) Address(numberAn treat). c5 0
0- 505 N Main Street sb � 23
City,state,and ZIP Code City,state,and ZIP:Code C' -� !
Do�tiTy
Patoka, IN 47666
Country Country a/TO'e¢.�
USA .
( . )
• 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:
0 YES NO CONDITION YES ,r''NO CONDITION
�, 1.Will this ( /property be the buyer's primary. �� �' 3. Homestead
residence? 0 Q 4.Solar Energy Heating or Cooling.System
O _ 2. Does the buyer have a homestead to be vacated 0 CO 5.Wind Power Device
r '- for this residence? If yes,provide address: 0 p 6. Hydroelectric Power Device
--' Addr number and street (-3 [) 7.Geothermal:Energy Heating or:Cooling Device
0 �U+ s ;v y
t City,state,ZIP code,and county
au- o - --00- 0,00. 71 -0 ()
1,1 Under penalties of perjury,I hereby certify that this Sales isclosure,to the best of my knowledge;and belief,is true,correct and complete
1 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
a At sili-
D