Loading...
Homestead_Smock H. PREPARER Preparer of the Sales Disclosure Form Title Allyn Tresenriter 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 Jarman L. Perkins Patricia L. Perkins Address(Dumber a treet) Address(num4qr and street) IS9 a" 1 KOS (C)171 i4v C.)h_S, O) - iv-ia 1 Kos Corp-, ivic.n 5 IV ' City,state,and ZIP Code Cit ,state,and ZIP Code 5-k.in,in 5 LA i's Le -AV Li 17 ria3 .-le,./147-4 1(..e '.. ./1/ Country Country US US E-mail address Aii,14 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 r I property,or omits or falsifies any information required to be provide.,commits a Level 5 felony. , Stmattire of Seller 7 (' ',it ure of Seller ' - / .- - .., ).-... C / -- --- Je--- ---06 R I d Name of-Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy) mon L. Perkins 7/18/2024 Patricia L. Perkins 7/18/2024 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 Jonathan Smock Alannah Smock Address(number and street) Address(number and street) 1112 North Main Street 1112 North Main Street City,state,and ZIP Code City,state,and ZIP Code Princeton, IN 47670 Il Princeton, IN 47670 Country Country US US E-mail addres ifj. 1.Will this property be the buyme p a . .-- ,_._)--. C) 0 3. Homestead 0 ED residence? 0 0 4. Solar Energy Heating or Cooling System 4 Does the buyer esteadk et vacated - ,1 0 5.Wind Power Device u for this residence?If , provide acftAs: ! ,cyj EI 6. Hydroelectric Power Device N Address(number and street) s..v P 0 0 7. Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county 0\S'e 2- >-12-0 -So 2-Dial .3c1 1 -02- ' . Under penalties of perjury,I hereby certify that thA 47s Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance vott/I IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of Page 3 of 5 t71 ,a......- rf ',A" 6., • ' 4VS6