HomeMy WebLinkAboutHomestead_Griffin H. PREPARER
Preparer of the Sales Disclosure Form Tile
Jamie E. Smith Escrow Officer
Company
Address (number and street, city, state, country, and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 -- Name as it appears on conveyance document Seller 2 Name as appears on y c ument
Southern Indiana Home Investments LLC
Address (number and street) Address (number and street)
2736 S 300 W _ 0
City, State, and ZIP Code City, State. and ZIP C.
Washington, IN 47501-7418 Q/ - <2O -
Country Country Nj60 -
ry
Q�CP
E-mail Address Telephone Number E-mail Address /tiV r Telephone Number
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, Is t .0., ect and complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and Intentionally fals ''s the value of transferred
real •deity, or omits or falsifies any information required to be provided, commits a Level 5 felony.
S'dnatur: of Selle , Signature of Seller
4"zdaiAllr
ra+•d I; e c eller t � Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mm/ddlyyyy)
. 1404.1 :• : ��� m eLLNIanager I May 5, 2025 May 5, 2025
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
Susan J, Griffin
I, Address (number and street) Address (number and street)
439 Walnut Street _
City, State, and ZIP Code City, State, and ZIP Code
Oakland City, IN 47660-1843 _
Country Country
apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
.. 1. Will this property be the buyer's primary ❑ 3. Homestead
dui► Q residence? ❑ c 4. Solar Energy Heating or Cooling System
Li 2. Does the buyer have a homestead to be vacated ❑ 0, 5. Wind Power JAL( for this residence? If yes, provide address: ❑ 40 6. Hydroelectric Power Device
Address (number and street) 0 a 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code. and County O p ` -
A-- 1q - i g -304
0 s--t4 - oo 4.- .
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
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