HomeMy WebLinkAboutHomestead_Kenley H". PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyer•fe.:6 ent
J and J Gibson County Homes, LLC J and J Gibson County Homes,
Address(number and street) Address (number and street)
"t a
520 Zimmerman Drive 520 Zimmerman Drive
City,State,and ZIP Code City,State,and ZIP Code /{f
Princeton, IN 47670 Princeton, IN 47670 01 202
Country Country USA 0/6, •
USA
E-mail Address
the best of my knowledge and belief,is true,correct GU?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.
Signature of Seller Signature of Seller
Printed Name of Seller Date Signed.(nlm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Mary Frances McDonald, Manager June 30, 2023 Jeff Clark, Manager June 30, 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
Tristan Kenley Erica Kenley
Address(number and street) Address(number and street)
1514 Willowbrook Drive 1514 Willowbrook Drive
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 - Princeton, IN 47670
-
Country Country
USA 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:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 0 El 3. Homestead
0 ❑ residence? 0 0 4.Solar Energy Heating or Cooling System
- 2. Does the buyer have a homestead to be vacated El 5.Wind Power Device
�- for this residence? If yes,provide address: ❑ Ej 6. Hydroelectric Power Device
Address(number and street) El07.Geothermal Energy Heating or Cooling Device
j ('V o..tri)p.Q \1 ..
City,State,ZIP code,'a d County. (� _, r �1�-� r �1,OZ_O,�-J . , 1,�_�2�
\5 Vic\tl i1,) t�� lr�9 ( t? b �U Y t-H • `1
•
Udder 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
information,SSN/Driver's License/ID/Other Number is necessary only if a Homestead Deductiorj./S being filed.)
I. =r� Y r
;
_
o
Y "���� I~` m
�
?
---- -
Page
u�