HomeMy WebLinkAboutHomestead_Shade H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyanc ocument
Haley N.Whitten Schmitt
Address(number and street) Address(number and street) 14
1682 Autumn Ridge
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt, IN 47639 404.
Country Country )
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US US C/9 1��� ��//.l
best of my knowledge and belief,is tear,
r afFe,Ft and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally false esthe.Ope of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
(7naturg of Seller / ' ,l / / r Signature of Seller
Printed NanSeller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Haley N. Whitten Schmitt 08/18/2023
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
Christopher Shade Juli Shade
Address(number and street) Address(number and street)
1062 North Main Street 1062 North Main Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
US US
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
' O O residence? O O 4.Solar Energy Heating or Cooling System
....../ 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O for this residence? If yes, provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
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City,state,ZIP code,and county
F ri nC-di-uh 114 Lfl cl 0 .6-d -U 6-1)S-000. n _p 2Z_ _
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
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