Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Chattin Jr
H. PREPARER Preparer of the Sales Disclosure Form Title Pamela Partenheimer Mick Attorney Company Address(number and street,city,state,country,and ZIP Code) 219 N Hart St, PO Box 13, Princeton, IN 47670 I. SELLER(S)IGRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document The Estate of Viola A. Clardy The Estate of Viola A. Clardy Address(number and street) Address(number and street) 128 Northpointe Dr -1 tfof tr/. 6 inG sr. City,state,and ZIP Code City, tate,and ZIP Code Oxford, MS 38655 VI- rn C e-f ah I'i(/ Li 7L 7D / Country Country Lafayette Gibson 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. Signature of Seller Signa r of LiCkerNeNG10. K . C Rat • Printed Name of Seller Date signed(mm/dd/yyyy) Printe N me of Sellej Date signed(mm/dd/yyyy) Ronda K.Case,Co-Personal Representative 9 i I el a t.. Elmarie Yvett Tichenor,Co-Personal Representative 9,a©...a r f 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 a rs n veyance document Larry G. Chattin, Jr. kt. Address(number and street) Address(number and street) E..1111� 2352 W 100 N City,state,and ZIP Code City,state,and ZIP CodO$f I q \Princeton, IN,47670 ' Z0?�(Country Country . Gibson •0 ',,,c," 3 . UN�'Alrp t�t ) Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify alithose that apply: YES NO CONDITION YES NO CONDITION 1.Will this property be the buyer's primary 0' 0 3. Homestead residence? Q D 4.Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device YO for this residence? If yes,provide address: 0 p 6.Hydroelectric Power Device iressirm an eet) we) St . i6allet0 p 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county v/ f l rj r 0O 0. 2 2 -0 23 Fic�v►dvi I le- 9n - �-�3 Llj 0 L l0 0 -� V J • 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.) i ; {°