HomeMy WebLinkAboutHomestead_Smith (6) H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, 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
Mission Real Estate Group Inc
Affejrress jmberanc st ,el) Address(number and street)
Ci}VV lul tJth\r� ZIP coo`de//} 1 t r City,State,and ZIP Code
11''vf1fU7 J 4.7(s1(pJ
Country Country
USA
and complete as
required by law,and is prepared in ac ance 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.
ASi nature 6 ler 4 Signature of Seller
( rinted me of Sell Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Jon an M. Moyer, e President May 17, 2024 May 17, 2024
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
Tristan Smith Hannah Smith
Address(number and street) Address(number and street)
5411 South Country Road 1000 East 5411 South Country Road 1000 East
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660
Country Country
USA USA
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may bq used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION 5-DO'at{
1.Will this property be the buyer's primary ❑X ❑ 3. Homestead
❑ residence? ❑ ❑X 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated ❑ ❑X 5.Wind Power Device
❑ i for this residence? If yes, provide address: ❑ 0 6. Hydroelectric Power Device
Address(number and street) ❑ El 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County
.it-ato -1oa - 300- 000- 0o Lt- 001 ,
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
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