HomeMy WebLinkAboutHomestead_Barretto 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
Lisa M.Whitehead
Address(number and street) Address(number and street)
5832 W Old Princeton Road
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665
Country Country
USA
E-mail address
knowledge and:belief,is:true,correct and complete as
required by law,and is prepared In accordance with IC6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required tobe provided,commits a Level 5 felony. . '"
Sign r of Seller � ( hJ.Q 1 ��t . Signature o€Seller
Pted ame of Seller Date signed(mm/dd/ y) Printed Name of Seller Date signed(mmldd/yyyy)
Lisa M.Whitehead /,-- 3—A t
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
Coretta J. Barretto
Address(number and street) Address(number and street)
P.O. Box 616
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
USA
( )
(� Pursuant to lC 6-1.1-1244,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
0 YES NO CONDITION YES NO CONDITION
I C) 0 3. Homestead
r. � � 1.Will this property be the buyer's primary
0residence? 0 C) 4.Solar Energy Heating or Cooling System
0 C) l 2. Does the buyer have a homestead to be vacated 0 Cl 5.Wind Power Device
0 for this residence? If yes,provide address: 0 • O 6.Hydroelectric Power Device
t Address(number and street)
0 534 W Oak Street O C) 7.Geothermal Energy Heating or Cooling Device
1 City,state,ZIP code,and county
02-61-
Princeton,IN 47670 c�1-�lOLt-0v0•�1 6 - -c`72 '
(-NI Under penalties of perjury,I hereby certify thatthls 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 6-1.145.A person who knowingly and"intentionally falsifies the value of
I transferred real pr pertp,or omits Or falsifies;any information required to be provided,commits a Level 5 felony.(Note:Both spouses i ,
information,S$N n v . icense/1D/Other Number is necessary if a Homestead Deduction is being filed)
6-4 Signature of