HomeMy WebLinkAboutHomestead_Russell (8) H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
Estate of Emily M. Holland
Address(number and street) Address (number and street)
811 N. Prince St.
City, State and ZIP Code City, State and ZIP Code
Princeton, IN 47670 ,
Country Country
United States of America
Email Address
Under penalties of perjury, I hereby certify 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.
.i�!�r. r f elle Signature of Seller
iettr00-b):4) • )i.1)
4Nil
Printed Name o Seller Date signed (m d/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
Kathy Reynol , Personal Representative 1/26/2024
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL/j<40AT A
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as . .r•pears on�C�v yance . . r nt
Cortni Russell C/eSO - s0?,
Address(number and street) Address (number and sty., Q
1631 W.Tulip Blossom Lane `''�Ty` VY '
City, State and ZIP Code City, State and ZIP Code "Ie
Princeton, IN 47670 04,
Country Country
United States of America
Email Address
used to apply for certain deductions. Identify all,li tFtCse that apply:
YES NO CONDITION YES NO CONDITION
0 1. Will this property be the buyer's primary residence? El ❑ 3. Homestead
0 0 4. Solar Energy Heating or Cooling System
❑ El 2. Does the buyer have a homestead to be vacated for 0 El5. Wind Power Device
this residence? If yes, provide address:
0 El 6. Hydroelectric Power Device
Address (number and street) 0 El 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county
aU2—I a-0-7 - ion.-- c ri. aoo-oar .