HomeMy WebLinkAboutHomestead_Daniel H. PREPARER
Preparer of the Sales Disclosure Form Title
Claire Kincaid _ Settlement Ant
C Company
Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Lane,Newburgh,IN 47630
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears r> sctment
Stephen Keith Bruce i Rialyn Amora Bruce
Address(number and street) Address(number and street) i)
110 N.2nd Ave. 110 N.2nd Ave. Sep r �
City,State,and ZIP Code City,State,and ZIP Code O
Oakland City,IN 47660 Oakland City,IN 0 23 (
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Country I Country G/
US US eSOQ Z
knowledge and belief,Is true,c rrect,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
ipreal property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. _
—--------Signature of of Seller Ljf {� Signature of
apt
Seller
B yre - r�u4^'�- �([.l' ap E?'Lli C�/'
1•QJ Printed Name of Seller i mate Signed(m infdd/yyyy) Printed Name of Seller l Date Signed(mm/ddlyyyy)
\\ Stephen Keith Bruce 1 Off Mo/20 z-3 Rialyn Amore Bruce O4//(p/20.7 3
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
Bruce A.Daniel
Address(number and street) Address(number and street) ,
13050 Saint Wendel Rd. __ -
City,State,and ZIP Code City,State,and ZIP Code i
Evansville,IN 47720
Country Country
US I
( )
3 Pursuant to IC 6-1.1-12-44,the Sales Disclosure For may be used to apply for certain deductions.Identify all of those that apply: l m YES NO CONDITION' X f:
YES NO CONDITION
1.Will this property be the buyer's primary ��'1(( 0 3.Homestead
residence? CD ® 4.Solar Energy Heating or Cooling System
X
2.Does the buyer have a homestead to be vacated O 5.Wind Power Device
for this residence? If yes,provide address: 0 ® 6. Hydroelectric Power Device •
Address(number and street) 0 () 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
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