HomeMy WebLinkAboutHomestead_Rascher H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it appears on conveyance document
Sabre Investments, LLC
Address (number and street) Address (number and street)
31 Homewood Dr, PO Box 3074
City, State and ZIP Code City, State and ZIP Code
Carbondale, IL 62902
Country Country
United States of America
Email Address
Under penalties of perjury. I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, dzsEiit, p.m c-i: • ete 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 tr�nAfe •.�. &eal property, or
omits or falsifies any information required to be provided, commits a Level 5 felony. .,_ii -r
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Signature of Seller ----' Signature of Seller /2zr_' d4r.
GIBSONPanted Name of Seller Date Signed (mm �p/dd/ Printed Name of Seller V _iv lo�t®� 0 -: : (mm/dd/yyyy)
Kenny Rochman, Manager YYYY) R
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J. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY AX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conveyance document
Heather R. Rascher Tracy E. Rascher
Address (number and street) Address (number and street)
416 S White Church Rd 416 S White Church Rd
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
United States of America United States of America
YES NO CONDITION YES NO CONDITION
11;1 ❑ 1. Will this property be the buyer's primary residence? 2 0 3. Homestead
❑ ❑ 2. Does the buyer have a homestead to be vacated for ❑ El 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: ❑ 0 5. Wind Power Device
Address (number and street) ❑ 2 6. Hydroelectric Power Device
❑ El 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
/ / ploa l F / !
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, co t, and complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifi a valu of transferred real
property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both ots 's infor ation, SSN/Driver's
License/1 Other Number i ecessary if a Homestead Deduction is being filed.)
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