HomeMy WebLinkAboutHomestead_Knelson H. PREPARER
Preparer of the Sales Disclosure Form Title I
, Milton Norman Settlement Agent
Company
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Address (number and street, city, state, country, and ZIP Code)
25 NW Riverside Drive, Suite 310, Evansville, IN 47708 r
I. SELLER(S)IGRANTOR(S) i
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Elliot Jacob Matheis _
Address (number and street) Address (number and street)
104 E Vine Street
City, State, and ZIP Code City, State, and ZIP Code
Fort Branch, IN 4764-8 _
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Country Country
US
Email Address Email Address Telephone Number
Under penalties of perjury, I hereby certify 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 Intents Hy falsifies the value of transferred ,
real property, or omits or falsifies any Information required to be provided, commits a Level 5 felony
S%gnature of Seller a Signature of Selleritkti
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dd! Printed Name of Seller (mm/ddlyyyy)
Pnnted Name d Date Signed (mml yyyy)
Elliot Jacob Matheis 4/0/1
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTI9NS —IDENTt THAT APPLY.
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Namw-O are on conveyartve/document
SO '\'
Brandy Knelson ti ��
Address (number and street) Address (number and stree 0i
City, State, and ZIP Code . City, State, and ZIP Code �/To
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- —`
Country - Country -
US
( )
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Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply' \
YES NO CONDITION YES NO CONDITION `
4 fib.. .;
0 .1. Will this property be the buyers primary a 0 3. Homestead (ek. _�
® /residence? 0 Cif) 4. Solar Energy Heating lotCjo4114tera
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t 2. Does the buyer have a homestead to be vacated 0 ( 5. Wind Power Device
0 `,.. for this residence? if yes, provide address: 0 ( 6. Hydroelectric Power Device
Address (number and street) 0 (d 7. Geothermal Energy Heating or Cooling Device '
City, State, and ZIP Code County -0 11 _l , O LA — Ooo. 3 (2_ o2
Under penalties of perjury, i hereby certify thatthls Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete