HomeMy WebLinkAboutHomestead_Keeper H.:PREPA14ER
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
1..SELL.ERk/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as a conveyance document
Ryan Richard Weeks,Jr.
Address(nuMber and street) Address(number and stm
Pc Q301. r)-)- --0)
pith state,and ZIP Code City,state,and ZIP 4-
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Country Country '')2 ; -,,
US US Oiti
best of my knowledge andA ialif e correct and complete as
required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intention 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 Signature of Seller
rid, Irfidlytak Luz•v‘ 7,0,
P inted Name of Seller Date signed(mmidd)jyyy) Printed Name of Seller . Date signed(mm/dd/yyyy)
Ryan Richard Weeks, Jr. 7/29/2025
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
Julie A.Keeper Elijah B. Keeper
Address(nuMber and street) Address(number and street). -_
6433 South 1075 West 6433 South 1075 West
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN 47665 Owensville,IN 47665
Country Country •
US - US
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 YES NO CONDITION
0 0 1.Will this property be the buyer's primary C) 0 3.Homestead
residence? 0 0 4.Solar Energy Heating or Cooling System
/2.0 Does the buyer have a homestead to be vacated 0 C) 5.Wind Power Device
for this residence?If yes,provide address: 0 , 0 6.Hydroelectric Power Device
Address(ntimber and street) 0 0 7.Geothermal Energy Heating or Cooling Device
I .
City,state,ZIP code,and county
Z-ANZ -2-k —9.0 2_-coo . 077- 02_6 •
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