HomeMy WebLinkAboutHomestead_Sauer (2) H. PREPARER }
Preparer of the Sales Disclosure Form Title
CHRISTINE SULLIVAN LOAN PROCESSOR
Company
J,
Address (number and st-eet city, state country, and ZIP Cole) �� )
910 W MAIN ST, BOONVILLE IN 47601
I. SELLERS)/GRANTOR(S)
Seller Name as it appears on co ve ance document Seller 2 - Name as appears or conveyance document
KIRIEWMAN �I
Address (number and s et) Address (number and s t)
I ,-)1 -Fi--\ t-.1. 0 c a
-
-t-i), ,
, S t and ZIP de ( �L. /l City, State, and ZIP Code
4 V1 A
sep 6' _
Country,4\ Country J
Email Address
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Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge aids 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 int r>ffjQ� alsifies the value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. O�
T Signat re o eller Signature of Seller O�
1" ' .e.,1,1/4..;.--it.
Print N m of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy)
Ai n c) r\ 7/16/25
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
DALE RAY SAUER
Address (number and street) Address (number and street)
4401 N 4TH AVE
City, State, and ZIP Code City, State, and ZIP Code
EVANSVILLE IN 47710
Country Country fill . 4,,,,
1-•/L1) 1---i 0 - 1.
Email Address
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I 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
!I 1. Will this property be the buyer's primary El ❑ 3. Homestead
El ❑ residence? 0 4. Solar Energy Heating or Cooling Syste
El 2. Does the buyer have a homestead to be vacated -- 0 5. Wind Power Device
0 for this residence? If yes, provide address:
❑ ❑ 6. Hydroelectric Power Device
Address (number and street) ❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
(0--21 -- 3 Z-30 9-C o- -9-€A` - 0 0)
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