HomeMy WebLinkAboutHomestead_Fisher (4) --
H. PREPARER
Preparer of the Sales Disclosure Form Title
Kris Coon Closing Agent
Company
Address (number and street, city, state, country, and ZIP Code)
4600 Washington Ave., Suite 102, Evansville, IN 47714
i
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2- Name as appears on conveyance document
i
Mckinley T. Madison, Sr Kimberly S. Madison
drC (ruar reef).sit.._ 6frr- - J
C SnINC1' r4-TC3 Vt,state, an 2 1CoZ tkC1417C
Country Country
USA ' USA
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.
Signature cf Sellers `_ S rat :re gf Seller t, _ -
)4',----7. .-es" i
Printed Nanoselle ' Date 'mm/d Printed Nameof ler �J / !/ ll/ - 1 dl
;lived ( �YYYY) e signed (mm.d yyyy)
Mckinley T. M ison, Sr /O -,2„.?__ _Z -- Kimberly S. Madison - 25
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL • T SliariM
`
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conveyance document 1
Veronica Fisher Kristopher Fisher IP
Address (number and street) Address (number and street) OCr 3 nII
6796 S 1050 W 6796 S 1050 W u 2025
City, state, and ZIP Code City, state, and ZIP Code > .. '
Owensville, IN 47665 Owensville, IN 47665
• Country Country C
USA USA OUNTVq�4 "``
YES NO CONDITION
� (1/ 1. Will this property be the buyer's primary Cl 3. Homestead
8 i O residence?
O O 4. Solar Energy Heating or Cooling System
I 5 2. Does the buyer have a homestead to be vacated 0 O 5. Wind Power Device
for this residence's If yes, provide address 0 O 6. Hydroelectric Power Device
Address (number and street) 0 O 7. Geothermal Energy Heating or Cooling Device
302 E Vine Street
c4 City, state, ZIP code, and county 4 -1-1 - !t� I1OFort Branch, IN 47648 Gibson County O - UUL, . L{ •- OZ\
1 Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete
0—
Page 3 of 5
l.