HomeMy WebLinkAboutHomestead_Moore 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 conveyance document
Jordan Damien Julian Andrea Lee Kunce
Address(number and street) Address(numberandstreet)
4 `1 (. i , l04S 5 Mote 1 S. 100L •
City,sta nd ZIP Code TA/e1-1 Pq City,stpu and�IP Code / ,v 1,051.1
r t-- 1)14-0 nel
Country Country
US US
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 i formation required to be provided,commits a Level 5 felony. �� -�
Si nature of Seller gna 'of S II\ " "` '
r ed e of Seller Date signed(mm/dd/yyyy) nted Name of Seller Date signed(mm/dd/yyyy)
Jordan Damien Julian • 11/29/2023 Andrea Lee Kunce 11/29/2023
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 do ment
Amanda N. Moore D
Address(nvber aelystreet1 C - Address(number and street)
.CJ[�/ I he In
City,state,and ZIP Code ,/�7f City,state,and ZIP Code DEC 01 2023
FO - 8r c�y `t (&("t
Country Country �
US US Afoul a .1/U-r6.:, '
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 O O 3. Homestead
O O residence? 0 p 4.Solar Energy Heating or Cooling System
O l Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 I] 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county I O_ I
1' ( ol- 600-- (41 — .)c
Last 5 of SSN:
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