HomeMy WebLinkAboutHomestead_Jones (26) H. PREPARER
Preparer of the Sales Disclosure Form Title
Cody L Pruett Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave., Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on corla�, document
Robert James Hurst
Address(number And street) Address(number and street)
t.04Q c ISCCfi0() S(Pe-1/4 '4,4A
City,state,and ZIP Code City,state,and ZIP Code pee
Country Country C,/es O?0<13
E-mail address
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
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Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Robert James Hurst (Z/f g/`oZ5
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
Audrey R.Jones Austin W. Bond
MT(number streef) Nidress(number and street)
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City,slate,and ZIP Code City,state,and ZIP Code
A'r Irce n, N 1Cr10 +a(1, TN 147Ce70
Country Country %
i
E-mail ress
YES NO CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary X 0 3. Homestead
residence? 0 0 4.Solar Energy Heating or Cooling System
o l" 2.Does the buyer have a homestead to be vacated O O 5.Wind Power Device
for this residence?If yes,provide address: 0 CI 6.Hydroelectric Power Device
Address(number and street) p ( 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
2C-I Z—I'S —'io _ Q O Z.�-11{ —O 2
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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