HomeMy WebLinkAboutHomestead_Baumeyer H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D. Tracey Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it appea n conveyance document
Darlene Runyon
Address (number and street) Address (number and street)
7950 S Andee Ln.
City, State and ZIP Code City, State and ZIP Code€0 '4,4e)
Fort BRanch, IN 47648 80
Country Country Q�e 40ey
United States of America `SO4,
Email Address
knowledge and belief, is trI • . ct, 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 V. :'. of transferred real property, or
omits or falsifies any information required to be provided, commits a Level 5 felony.
Si ure of Seller Signature of Seller
',,&
Printed Name'of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/ddiyyyy)
Darlene Runyon YYYY) y- G _ s____
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
Brett Mitchell Baumeyer (2ev-0
Address (number and street) Address (number and street)
7877 S Andee Lane •
City, State and ZIP Code City, State and ZIP Code
Fort Branch, IN 47648
Country Country
United States of America
Email Address
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:
Yi NO CONDITION YE NO CONDITION
CI1. Will this property be the buyer's primary residence? All /4.
3. Homestead
p ❑V2. Does the buyer have a homestead to be vacated for �` Solar Energy Heating or Cooling System
this residence? If yes, provide address: ❑ t 5. Wind Power Device
Address (number and street) ❑ C� Hydroelectric Power Device
❑ Q 7. Geothermal EnergyHeating or Cooling Device
VC.IAACk...k
City, State, and ZIP Code r.^""`"
IN (;0'. 19 19 -'-* 1°3 *- 0 01 • 200 '. 02.L
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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/DrivQ'
License/ID/Other Number is necessary if a Homestead Deduction is being filed.) '
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