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HomeMy WebLinkAboutHomestead_Marret H. PREPARER Preparer of the Sales Disclosure Form Tide Arnie Maslanka Escrow Officer Company Address (number and street, city, state,country, and ZIP Code) 409 Main Street, Vincennes, IN 47591 i. SELLER(S)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document - - Hoosier Homes and Hospitality LLC Seller 2-Name as appears on conveyance document Address(number and street) 3111 Bellemeade Ave. Address(number and street City, state, and ZIP Code I T Evansville, IN 47714 City, state, and ZIP Code Country country 0c,, United States of America United Stet America 08 of my knowle d bel ef, 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 an ally falsifies the value of transferred real property, or omits or falsifies any Information required to be provided, commits a Level 5 felony S tugs of Seller f ^ Signature of Seller �To/71 v 1 led Name of Seller red mm/ Printed Name of Seller Date signed (mm/dd/yyyy) John Kissel Stel*gest Dattr J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY Buyer 1 -Name es it appears on conveyance document Buyer 2-Name as appears on conveyance document Anthony Marret Address (number and street) Address (number and street) 810 E. Emerson St. City, state, and ZIP Code City, state, and ZIP Code Princeton, IN 47670 Country Country United States of America United States of America for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION ❑ 3. Homestead ❑ 1. Will this property be the buyer's primary residence? 0 © 4. Solar EnergyHeating g or Cooling System ❑ 2. Does the buyer have a homestead to be vacated for ❑ El 5. Wind Power Device this residence? If yes, provide address: 0 p 6. Hydroelectric Power Device Address (number and street) ❑ ® 7. Geothermal Energy Heating or Cooling Device City, state, and ZIP Code County ;C - 12' 0i-1 0,3 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 3