Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_McClelland (2)
H. PREPARER Preparer of the Sales Disclosure Form Title Cody L Pruett Closing Agent Company Address(number and street,city,state,country,and ZIP Code) 4600 Washington Ave., Suite 102, Evansville, IN 47714 I. SELLER(S)IGRANTOR(S) Seller 1—Name as it appears on conveyance document ' Seller 2—Name as appears on conveyance document Eric McClellan Megan McClellan Address(number and street) A dre s riu erai7d s 5� is t i c_s Rd, °o �` es , `'. City,state,and ZIP Code City,state,and'ZIP Code ‘rerunat FL- 3 3 1 / la# 1nil PI. 33V11 Country Country • 7 E mail ress 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. 9.pnalum o Seller Signa of Sell Printed Name of Seller Date signed(mm/dd/yyyy) Pr e ame.of Seller Dat signed(mm/dd/yyyy) Eric McClellan ©G/©7i��:3 Megan McClellan 6/7 3 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—I- NTIFY ALL THAT APPLY Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it app: a eyance document Shawn McClelland ddre s(n mbe an street) Address(number and street) 10- ad uenue, 4:ij state,an ZIP Code City,state,and ZIP Code /v flnr • n Itolts�D - z6 z,,9 Country Country G/ C� eS E-mail address apply for certain deductions.Iden�ri�hose that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary 0 3. Homestead residence? 0 O 4.Solar Energy Heating or Cooling System rl ' 2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device for this residence?If yes, provide address: 0 p 6.Hydroelectric Power Device •Address(number and street) �, O O 7.Geothermal Energy Heating or Cooling Device VIM S WC,SNN►n 3sPr City,state,ZIP code,and cauntyy � � c;(\c.c.*ov, .1N LA-1(Di0 6-)1- 12-\o3 -002-S9\ - Qat 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 transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.(Note:Both spouse's SS N Page 3 of 5 Iv i