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HomeMy WebLinkAboutHomestead_Dooley H. PREPARER Preparer of the Sales Disclosure Form Title Milton Norman Settlement Agent Company Address(number end street,city,state,country,and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 4770E I. SELLER(S)/GRANTOR(S) Seller 1—Name as It appears on conveyance document Seller 2—Name as appears on conveyance document Green Key Ventures,LLC Green Key Ventures, LLC Address(number and street) Address(number and street) 9831 Wlnyard Place 57a01- (,r. City,Stale,and ZIP Code City,State,and ZIP Code Owensville,IN 47665 Country Country 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 pro rty,or omits or falsifies_any information required to be provided,commits a Level 5 felony. _ of Seller . i Signature of Sajl 'lPrl ame oof s`e `f' _r &��1 e S ned(m dd/yyyy) Printed Name of Seller Date Signed(mmldd/yyyy) `Ste anie Lynn S e tt, / i � (%37 d1 72 2 /l7COd6rc /Hap, Jk yr,.. ;1f'4y,6.v r".:2 1 -2 U) 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 Skyler Dooley Katrina Shipley -N Address(number and street) Address(number and street) ' w C 88 W 860 S Apt 88 W 800 S Apt p 4.,:, City,State,and ZIP Code City,State,and ZIP Code 3' ." 4. Fort Branch,IN 47648 Fort Branch,IN 47648 41' p Country (?..., Countryo usUS I D Pursuant to IC 6-1.1-12-44,the Sales Disclosure F y us a, or certain deductions.identify all of those that apply: YES NO CONDITION i9.7 NO CONDITION D in 1.Will this property be the buyer's primary t.t 0 3.Homestead ® � residence? SEP 0 3 20 D GO4.Solar Energy Heating or Cooling System O 2.Does the buyer have a homestead to be vacated 0 Oil 5.Wind Power Device 0 for this residence?if yes,p ' e address: 0 ® 6. Hydroelectric Power Device S -7 J'I q __end ' 3 W GIBSON COUN71.AU DO 7.Geothermal Energy Heating or Cooling Device C? ©1 vlle Dn —` vok _s City,State, ZIP Code County 2-6 -1 1-l9 ' too - oQ) . 52-q- -o21 t Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete �D 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 (v transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's lnfomratlon,SSN/Driver's License/ID/Other Number Is necessary only If a Homestead Deduction Is being filed.) Sig y�of Buyer 1 ' Sig Buyer e, • Pd Legal ame•4 =r 1 Sign Date(MM/DD/YY)�, '' Printed Legal Name of Buyr2/Spouse Sign Date(MM,PD/1'Y) Skyler Dooley ', --;;2_'t Katrina Shipley 5-;Z-1 !/e..� Last 5 DI itri of Buyer 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number g'31 zo Zki_ Q�„1 v m 1hc,df-'th'A m *14 -\ ,Ca 12 :3d in _ . C►ylta�e 1-b I S °I sb Pk ^i'WVIc� no-� J dick) se � 3�� . .She �c�ed o,,,A �e vIc " <4/c_ scone . 5ke. 1(c/ a-- -W,k\ col -Nif Yvtmon k;A ( 3.C Z1--02'J Cll- _ v_1nr7_0?.1i