HomeMy WebLinkAboutHomestead_Fuchs H. PREPARER
Preparer of the Sales Disclosure Form Title
Katie Felty Escrow Officer
Company
Address (number end street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
•
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Address (number and street) Address (number and street)
City, state, and ZIP Code
ode City, state, and ZIP Code
Country - Country
us us
E-mail address Telephone number E-mail address Telephone number
( ) ( )
Under penalties of perju hereby certify this Sales Disclosure, to the best of my knowledge . : belief, Is true, correct and complete as
required by law, and I- •repined In accordance with IC 8-1.1-5.5. A person who knowingly a• • Intentionally falsifies the value of transferred
real property, or o . or falsifies any information required to be provided, commits a Le = 6 felony.
Signature of Se • Signature of S; er
Printe• lame of Seller Date signed (mm/dd/ yyy) Print:. erne of Seller Date signed (mmfdd/yyyy)
1
J. BUYER(S)fGRANTEE(S) — APPLICATION FOR PROPER TAX DEDUCTIONS —IDENTIFY ALL THAT APPLY
lizr, Buyeer)-Nine as it appears on conve ance document Buyer 2 - Name as it appears on conveyance document
I ctai
Address (number and street) Address (number and street)
Tior 5 (e ,A-4-tA, C1 - ,
City, slate, and ZIP odeT City, state, and ZIP Code
F)14- jA - ,
-6 Country Country ` ec
US
dedu ligfntf .eall of those that apply: ,
YES NO CONDITION YES NO CONDITi0?()),
O 1. "Mail this property be the buyer's primary O O 3. Homesteacr ,,
residence?
D O 4. Solar Energy HeaRf0 or Cooling System
Q S. Does the buyer have a homestead to be vacated 0 O 5. Wind Power Device
for this residence? If yes, provide address: O Cl 6. Hydroelectric Power Device
Address (number and street) 0 CI 7. Geothermal Energy Heating or Cooling Device
City, state, ZIP code, and county
-iCr - 1ol -- 001 . 36 , 026
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 end Intentionally falsifies the value of
oq
I
I
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