HomeMy WebLinkAboutHomestead_Turpin (15) H. PREPARER
Preparer of the Sales Disclosure Form Title
Haley Smith Escrow Officer
Company
Address(number and street,city,state,country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Kathelyn Kinsall Munnier Bryan J. Munnier
Address(number and street) Address(number and street)
r-tci9 N s+�1�Tbad co.5 I-i 9 9 Al ,c- . COW" Cps
City,state,and ZIP Code City,state,and ZIP Code
TrjnCL-E-on f IN 41 (070 r{.hce_\25-.., , IAI L/7(_ 70
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 information required to be provide ,commits a Level 5 felony.
gnatu e of S Iler S' nature of rip...„_____ —
y
n ed am Sell Date signed(mm/dd/yyyy) me me Gf Date signed(mm/dd/yyyy)
Kathelyn ins Munnier 8/2/ grilip ryan J. Munnier 8/2/2024
-
J. BUYER(S)/GRANTEE(S) —APPLIC• 8 N O' PR -,Y TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document t yer 2—Name as it appears on conveyance document
Drake Turpin ' ,i adalyn Turpin
Address(number and street) 41/G D Address(number and street)
1019SPrinceSt 6202 1019SPrinceSt
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Gi�S ) rinceton, IN 47670
Co ntry ONCOv� Country AUG 0 6 2024 46'
YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 0 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated O 0 5. Wind Power Device
for this residence? If yes, provide address: 0 0 6. Hydroelectric Power Device
Address(number and stree 0 0 7. Geothermal Energy Heating or Cooling Device
10'I, t 5 - rr:-- 5J ,
City, e,ZIP code,and county
r. Li'` G`T 2 -0 5-3 i 400-O a, 90l o Lq
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
transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
Sin lure of B Sig ature of Bu er 2/Spouse
P'nted Legal Name of Buyer 1 Sign Date(MM/DD/YY) r ted Legal Name of Buyer 2/S'ouse Sign ate(MM/DD/YY)
Drake Turpin 8/2/2024 Madalyn Turpin 8/2/2024
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
Last 5 of SSN: 3_-Ohs Last 5 of SSN: 3 -G6, 13
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