HomeMy WebLinkAboutHomestead_Odom (3) •
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H. PREPARER
Preparer of the Sales Disclosure Form Title •
` Arnie Maslanka Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
5231 Oak Grove Road,Suite A,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S}
Seller 1—Name as it appears on conveyance document
Jerry L.Garner Seller 2—Name as appears on con d���o^^^cument
Address(number and street)
2373 E Classic Drive Address(number and street)
City,state,and ZIP Code `���'
Haubstadt,IN 47639 City,state, ry
end ZIP Code A V/'v+ `b
Country Country �O 20
United States of America United States of Am 2s
of my knowledge and beilef,'l ' • and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally fats aloe of transferred
real pro .or omits falsiities any Information required to be provided,commits a Level 5 felony.
Sig `lure Seller Signature of Seller
1�
Prl Name of Sell Dal 11( dG�"�' Printed Name of Seller Dam signed(mmfdd/yyyy)
Jerry L.Gamer
J.BUYER(S)IGRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as appears on conveyance document;
IGrk Odom Husband and wife Kyra Odom
Address(number and street) Address(number and street)
210 S.Lincoln St. 210 S.Lincoln St.
City,state,and ZIP Code City,slats,and ZIP Code
Fort Branch,IN 47648 Fort Branch,IN 47648
Country Country
United States of America United States of America
YES NO CONDITION YES NO CONDITION
El1.Will this property be the buyer's primary residence? .Homestead
0 IE 4.Solar Energy Heating or Cooling System
❑ 2.Does the buyer have a homestead to be vacated for El ® 5.Wind Power Device
!"� this residence?If yes,provide address: 0 ® 6.Hydroelectric Power Device
Address(number end street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County a( .. kc — `,, —3o — oco .3 i-o2
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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