HomeMy WebLinkAboutHomestead_Mroz (3) H. PREPARER ^^
Preparer of the Sales Disclosure Form Title
Colleen Dunn Settlement Agent
Company
I
Address(number and street,city,state,country,and ZIP Code)
2801 N 6th Street,Suite E,Vincennes,IN 47591
I. SELLER(S�/GRANTOR(S) - w� �_WJ^� -------� ._,
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on coney ument
Madelyn Grace(Sloan)Turpin
Address(number and street) Address(number and street)
1019 S Prince Street 4
( City,State,and ZIP Code City,State,and ZIP C "4i)
Princeton,IN 47670 /8
Country Country Gies 81j j
US O•v
Email Address
-/6 , )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is truWiegtet,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifiesihe value of transferred
' real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
,,i, ►ti (4fray3 T
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Madelyn Grace(Sloan)Turpin 03/14/2025 03/14/2025
'
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
Garrett David Mroz .
Address(number ands t) Address(number and street)
10Iw $ fr'iprp 4f
C�ly,Slate,and ZIP Code City,State,and ZIP Code
Yr elteitp. Ill /-1161O
Country Country
US
Email Address Telephone Number
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Forrn may be used to apply for certain deductions.Identify all of those that apply:
- YES NO CONDITION YES NO CONDITION '
1.Will this property be the buyer's primary EN 0 3.Homestead
1 • residence? . 3 4.SolarEnergyHeating or Cooling
.... /•' • • - be• • • tip • PowerDevice
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Address(nUmber and street) 0 3 7.Geothermal Energy Heating or Cooling Device
3 s•
... /