HomeMy WebLinkAboutHomestead_Michl H. PREPARER
Preparer of the Sales Disclosure Form Title
} Katie Felty Escrow Officer
Company
Address (number and street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715 I
I, SELLERS)/GRANTOR(S)
seller 1 - Name as 11 appears on conveyance document Seller 2 - Name as appears on eyance document
Theresa L. Bradley
Address (number and street) Address (number and street)
4 Tto 5 E 1 a-c-)0 '3ou
Clt fate, arxi ZIP Code ~City, stale, and ZIP Code Se'
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Country t Country P ?6
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best of my knowledge and bIL.,. • erred. and complete as
required by law, and Is prepared In accordance with IC 6-1.1-5.5. A person who knowingly and intentiortall ' 'Il : .,. , value of transferred
.real pr000rty, or omits or falsifies any information required to be provided, commits a Level 5 felony. Ofi.
Sign t6rer of Seller A ` Signature of Seller
hiti)
r_4(.._.o.d.
Yed Name oe l i
to signed (mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Theresa L. Bradley •' 19/25
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
Karen M. Michl Gary Patrick Michl
Address (numb r and street) Address b rx1 Street)
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City, tale, and ZIP Code
City, state, and ZIP Code
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Country Country 1
US Jus
O 1. VYII this property be the buyer's primary O O 3. Homestead
residence? 0 O 4. Solar Energy Heating or Cooling System
VO 2. Does the buyer have a homestead to be vacated 0 O 6. Wand Power Device
for this residence? If yes, provide address. 0 0 6. Hydroelectric Power Device
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Aairess (number a d stre 0 C) 7. Geothermal Energy Heating or Cooling Device
A �t l i\A„, V •\\CL L(N.
City late, ZIP code, and county
A11V Lid- SS?- ; - 2 '3 - �- Zoo -to Oa 1 3 - 00c .
Under penalties of perjury, Thereby certify that this Sales Disclosure, to the bast 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 8 felony. (Note: Both spouse's
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