HomeMy WebLinkAboutHomestead_Moser Jr - - _ - . .. __-- -- - . -
H. PREPARER
Preparer of the Sales Disclosure Form Title
Leah Brown. Settlement Aoent
I Company
Address (number and street. city, slate, country, and ZIP Code)
7820 Ea le Crest Blvd, Suite 201, Evansville, IN 47715
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1 I. SELLER(S)IGRANTOR(S) ..- -- .-._ ----
Seller 1 -Name as it appears on conveyance document JSelier2 -NameasaPea =
Jordan Rutko _ Brianna Grimm
Address (number and street) Address (number and street)
, 602 S Mill Street _-� _ - 602 S Mill Street DEC 3 0 --2025 __._. _._...__ _ _
City, State, and ZIP Code City. State, and ZIP Code
. Owensville, IN 47665 Owensville, IN 47665 Country Country .a._. '
US US GIBSON CO
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 S• nature of Seller
3711Allikl&ri
'Led Name of Seller Date S� ed (mrnr:dlyjv) Printed Name of Seiler __ __
—7-Da te S' red t;r�r:T»ddlyyy��}
Jordan Rutko 121 /2025 Brianna Grimm s 12/4:2025
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 L
Donald L. Moser. Jr. 1
Address (number and street) Address (number and street)
5820E 250 S i
City. State.and ZIP Code City, State, and ZIP Code
Francisco, IN 47649
Country Country �--- ---- - --
_US _ I _
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I`P Pursuant
.+-.+... od to apply t rt cti apply: .-•.+aa-
Pursuarri to IC 6-1.1-12-44, the Sales Disclosure Form may be usod to apply tor certain deductions. Identify all of those that apply:
i YES NO CONDITION YES NO CONDITION
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1 1. Will this property be the buyer's primary IX O 3. Homestead
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residence? Q 4. Solar Energy Heating or Cooling stem
QC2. Does the buyer have a homestead to be vacated (� 5. Wind Power Device
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for this residence? If yes, provide address: 0 X 6. Hydroelectric Power Device
1.
Address (number and street) 0 [g1 7. Geothermal Energy Heating or Cooling Device
City, State. and ZIP Code _-~ County 2 _ 1 7 1 2-_41.OD A 0 01 , _26 2 -022_
3