HomeMy WebLinkAboutHomestead_Georges (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
I. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document Seller 2 — Name as it ap
pears on conveyance document
David Joseph Hunter
Address (number and street) Address (number and street)
302 E John St.
City, State and ZIP Code City, State and ZIP Code
Fort Branch, IN 47648
Country
Country
United States of America
Email Address
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.
Signature of S Signature of Seller
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Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller pi.4Date Signed (mm/dd/yyyy)
David Joseph Hunter YYYY)
// 1 Y/01 a) 5
J. BUYER(S)IGRANTEE(S) -APPLICATION FOR P OPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY
Buyer 1 — Name as it appears on conveyance document Buyer 2 — Name as it appears,on conveyan Pi)
Ethan J. Georges 40k
Address (number and street) J(
Address (number an treet)
11371 E975S S
C
City, State and ZIP Code City, State and ZIP Co tvc
cji rCk59-
Lynnville, IN 47619 O4 j .
Country
Country
United States ��4
of America OR
Email Address
certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION p`
r.,
R' El , . Will this property be the buyer's primary residence? ❑ 0 3. Homestead
❑ 21 4. Solar EnergyHeating g y *- ;
❑ 2. Does the buyer have a homestead to be vacated for or Coolin S s
this residence? If yes, provide address: El El 5. Wind Power Device
Address (number and street) El El 6. Hydroelectric Power Device
0 U 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
r_ - \ Dt - \ -~ -0 l. - ocO . -7k 5-CaL0
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
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