HomeMy WebLinkAboutHomestead_Zenthoefer (2) H. PREPARER -
Preparer of tre Sales Disclosure Forrr i - tle
Kris L Coon I Escrow Officer
Company
Address (number and street, city, state, country, and ZIP Code)
4600 Washington Avenue, Suite 102, Evansville, IN 47714
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 -Name as appears on conveyance document
Linda LaVey (sing
1.1.panvio strsnmn Address (number and street)
l C tat c P City, State, and ZIP Code
01/4 ( il "U ,DN 4111
Country Country
United States of America
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 property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
Si ature o' Sel'er /) ' Signature of Seller
rated ' l
Ati:r511, `S') .r yyJ Printed Name of Seller ! Date Signed (mm/dd/yyyy)
Linda LaVey (sing ^ _ _ `i iLr,vPmhnr�.A, A.2r,-
J. BUYERS)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 - Name as it appears on conveyance document I Buyer 2 - Name as it appears on c. eyance document
Peggy Louise Zenthoefer -
A dr is (r+, ,,b��a, st e!j ,j}- Address (number and street;
1-7n- 6)1— Up.
1--.1-
C y Stat , and , Crt_ f
J
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City, State, and ZIP Code ✓4 A'
,Y
Country Country /6'
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United States of America C,'j�p�
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Email Address
for certain deductions.}It 'f` - II of those that apply:
ft YES NO CONDITION YES NO CONDITION 'kb., •
.7 v 1. Will this property be the buyers primary - 3. Homestead iTQ9
Q residence? ❑ 0 4. Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated i 0 0
5. Wind Power Device
fl ❑ for this residence? If yes, provide address: ❑ n 6. Hydroelectric Power Device
(
A r s nu b tr�et) sA_____(,siiiet t_. n OX 7. Geothermal Energy Heating or Cooling Device
• y,, ` C°It* `}VI- -1r\Nv. - I y - 001 3S 3- -24
ci � �. � � -� _ 3 -yam
t Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete
94' 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
4' transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's ,