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HomeMy WebLinkAboutHomestead_Bauer H. PREPARER Preparer of the Sales Disclosure Form Title Milton Norman Address(number and street,city,state,country.and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 I. SELLERS)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on cony document Matthew J.Evans Address(number and street) Address(number and street) 302 W.3nd St 14 City,Stale,and ZIP Code City,State,and ZIP Code Se/01 -4 -1) Patoka,IN 47666 Country Country us G4s, 44. this Sales Disclosure,to the best of my knowledge and belief s4 rrect,and complete as required by law,and Is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally a value of transferred . real property,or or}}ts or falsifies any information required to be provided,commits a Level 5 felony. /i' Signature of Sey"}% ` Signature of Seller �/(// ,,,,. G, 094 c/cc/ Printed Name of Seller Date Signed(mmldd/yyyy) Printed Name of Seller Date Signed(mm/ddlyyyy) Matthew J.Evans 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 Tanner Bauer Van Kaiser • Address(number and street) Address(number and street) 302 W.3nd St. 302 W.3nd St. City,State,and ZIP Code City,State.and ZIP Code Patoka, IN 47666 Patoka,IN 47666 i Country Country I US US 1 Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply: - YES NO CONDITION YEE NO CONDITION d © 1.Will this property be the buyer's primary tit 0 3.Homestead residence? o ® 4.Solar Energy Heating or Cooling System iff ❑ 2.Does the buyer have a homestead to be vacated 0 ID 5.Wind Power Device for this residence?If yes,provide address: ❑ 111 6.Hydroelectric Power Device Address(number and street) p ® 7.Geothermal Energy Heating or Cooling Device City,Stale,and ZIP Code County 4 _ 2- ---- ,_WI - O OO Z\O - 00 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 provide mmits a Level 5 felony.(Note:Both spouse's Page 3 qw^b' lg r .v T