HomeMy WebLinkAboutHomestead_Schocke H. PREPARER
Preparer of the Sales Disclosure Form Title
Kris L Coon _ Escrow Officer
Company
Address (number and street, city, state, country, and ZIP Code)
520 Main Street, Suite 1 , Jasper, IN 47546
-I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Curt Beadle Sheila Beadle
Address (number and street) Address (number and street)
1018 East Taftown Road 1018 East Taftown Road
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
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 Seller Signat of,Seller
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Printed Name of eller - I Oat Signed (mm/d yyyy) rin ed Name of Seller D teSi (mrn/ddlyyyy)~
Curt Beadle `S. R Sheila Beadle --
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J. BUYER(S)/GRANTEE(S) — APPLICATION F 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
Amanda Marie Schocke
A ress u d trV) Address (number and street)
l - O G
. State, n ZIP Cods. .) ��Fi' City, State, and ZIP Code
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Country Country
CONDITION
1. Will this property be the buyer's primary Q/ ❑ 3. Homestead
❑ resid nce? ❑ [( 4. Solar Energy Heating or Cooling System
. Does the buyer have a homestead to be vacated ❑ 5. Wind Power Device
❑ for this residence? If yes, provide address:
❑ V.-- 6. Hydroelectric Power Device
Address (number and street) n I Uf' 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code, and County J _ Z -01 - l ` Q _ o ° 1. C S4- —0 2 .
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete
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