HomeMy WebLinkAboutHomestead_Daffron I H. PREPARER - --.- _�_.
Preparer of the Sales Disclosure Form Title
Mantes Rivera Settlement Agent
Company
Address (number and street, city, state, country, and ZIP Code)
25 NW Riverside Drive, Suite 310, Evansville, IN 47708
I. SELLER(S)/GRANTOR(S)
Seiler 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveys ume t
Oakland City University Foundation, Inc.
Address (number and street) Address (number and street) ,c e
138 N Lucretia St v
4 I)
City. State, and ZIP Code City. State, and ZIP
Oakland City, IN 47660 _ /eS <�)6'
C�
Country Country �CQGQ
US
of my knowledge and belief, is true, co sect, 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 informa ' equired to be provided, commits a Level 5 felony.
Signature o' Seller
I Signature of Seller
2-)
3C)Q- 1-j1/40- 11
Printed Name of Seller Date Signed ddlyyyy) Printed Name of Seller Date Signed (rnmlddiyyyy)
B. Todd Mosby, Authorized Signatory 02/02/20 6 02(0212026 -�
J. BUYER(S)/GRANTEE(S) - APPLICATION F PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 -- Name as it appears on conveyance document j Buyer 2 - Name as it appears on conveyance document k
Justin T. Daffron _ _ Samantha M. Daffron
Address (number and street) Address (number and street)
1268 N Old US Hwy 41 1268NOldUSHwy41
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
US US
Email Address
'
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
® 1. Will this property be the buyer's primary OD Li 3. Homestead
residence? O ;X 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 for this residence? If ® 5. Wind Power Device
yes, provide address:
0 (ii) 6. Hydroelectric Power Device
Address (number and street) 0 5b 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County I �i ` 07, / , -} _ 0
0 6
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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