HomeMy WebLinkAboutHomestead_Green H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address (number and street, city, state, country, and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document r. Seller 2-Name as appears on yance document
Gregory R. Harpenau _
Address (number and street) Address (number and street)
1133 w 1000 s
City, State, and ZIP Code :::. :tean1Pc0de
S , d S
USA Q„,
best of my knowledge and'lfitye ue, 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 Pies the value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. 'TO
Si afore of Selle Signature of Seller
Printed Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy)
Gregory R. Harpenau ()GI Qq I �
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
Beth Green Jacob Green
Address (number and street) Address (number and street)
6300 West Stalheim Avenue 6300 West Stalheim Avenue
City, State, and ZIP Code City, State, and ZIP Code
Owensville, IN 47665 Owensville, IN 47665
Country Country
USA USA
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary ❑X ❑ 3. Homestead ,
❑ residence?
❑ � 4. Solar Energy Heating � Co�' _ =sstem
2. Does the buyer have a homestead to be vacated ❑ ❑X 5. Wind Power Device � j
for this residence? If yes, provide address: El 0 6. Hydroelectric Power Device lei
Address (number and street) ❑ ❑X 7. Geothermal Energy Heating or Cooling Deice
City, State, ZIP code, and County 16 3 ) -Soo _ 0 0 • 2 5 -02 \
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
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