HomeMy WebLinkAboutHomestead_Simms H. PREPARER
Preparer of the Sales Disclosure Form Tele
Sarah McDaniells Escrow Officer
Company
Address (number and street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLERS)/GRANTOR(S) _
Seller 1 - Name as it appears on conveyance document Seiler 2 -Name as e rs c eyance document
LaDonna Dcug'as ,
Address (number end street) Address (number and street)
516 S Ninth Ave - 4?)
�y +
City, state, and ZIP Code City, state and ZIP!-a
Haubstadt, IN 47639 C')Ip
Country Count'/eS
us -us °4'
best of my knowledge and 'rue, correct and complete as
required by law, and is prepared In accordance with IC 6.1.1.5,5. A person who knowingly and intentioned' fatuities the value of transferred
real property, or omits or Pais! ies any information required to be provided, commits a Level 6 felony.
Si nature 5 tier Signature of Seller
_601,e4f,,d- A__
r. d a o of Seiler ' Date signed (mrn/dd/yyyy) Printed Name of Seller Date signed (mm/ddlyyyy)
LaDonna Douglas .\J 0B/21/2025
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY
Buyer 1 — Name as It appears on conveyance document I Buyer 2 - Name as it appears on conveyance document
Beth Simms
Address (number end street) Address (number and street)
L205 West Locust Street
City, state, and ZIP Code City, state, and ZIP Code
Fort Branch, IN 47648
Country Country
Us
certain deductions. Identify all of those that apply:
YES �NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary
Q O 3. Homestead
O 0residence?
0 O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 6. Wind Power Device
Q for this residence? If esprovide address:
yes, O p 6. Hydroelectric Power Device
l Address tnumberand treat) 0 07. Geothermal Energy Heating or Cooling Device
son Vit"\a ciloci tr •
City, sitge, ZIP code, a d count LA
°tA -00 , �9 f - 02-k 4...--
Under, C-liteilc V‘ I k_k_ 9.- --A/ ti 9 1 i S C (D r-\S_— \ —
penalties of perjury, I herebycertifythat this Sales Disclosure, to the best of my knowledge and belief, la true, correct and complete
P P J Y�
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