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HomeMy WebLinkAboutHomestead_Kessler H. PREPARER Preparer of the Sales Disclosure Form Title Christa D. Tracey Escrow Officer Company Address (number and street, city, state, country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it appears on co e e document Elite Companies, Inc., an Indiana Corporation Address (number and street) Address (number and street) 304ESR68 Nor'...416:1) �j0 City, State and ZIP Code City, State and ZIP Code �O Haubstadt, IN 47639 `� ?� Country Country Gie "�,S r . United States of America SO/C�Q O 400 ii.,„ , Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, correct, ancfomplete 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 jjgctraiatio9 required to be provided, commits a Level 5 felony. Signature of Sir Its Signature of Seller Printed Name of Seller Date Signed (mmidd/ Printed Name of Seller Date Signed (mmidd/yyyy) Brooke Traylor, �R� � �t l� C YYYY) ) I -3_�. 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 Abigail G. Kessler James J. Kessler Address (number and street) Address (number and street) 601 Reserve Blvd 601 Reserve Blvd. City, State and ZIP Code City, State and ZIP Code Evansville, IN 47715 Evansville, IN 47715 Country Country United States of America United States of America YiEy NO CONDITION Y:Ks NO CONDITION ❑ . Will this property be the buyer's primary residence? /4. Homestead . *' '� P P Y �, ❑ 2. Does the buyer have a homestead to be vacated for ❑ Solar Energy Heating or Cooling Syste. a this residence? If yes, provide address- ❑ I- 5. Wind Power Device Address number and street] ❑ [�' 6. Hydroelectric Power Device ,t ❑ V7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County b - -)„ o -01 - \ oo -002 . 233 -- co1 . 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