HomeMy WebLinkAboutHomestead_Feldpausch H. PREPARER
Preparer of the Sales Dsclosure Form Title
Milton Norman Settlement Agent
Company
Address (number and street, city, state. country, and ZIP Code)
25 NW Riverside Drive, Suite 310, Evansville, IN 47708
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Damian M. Smith
Address (number and street) Address (number and stre
8874 S Meadow Lane
City, State, and ZIP Code City, State, and ZIP Code
Owensville, IN 47665
Country Country Pep
US 0 4
701
Email Address
of my know 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, ct m commits SellerLevel 5 felony. ' ri:,
Signature of Seller 4 r gUK
1+ •ame of Seller 'Date Signed (mmlddlyyyy) Printed Name of Seller Date Signed (mm/ddlyyyy)
Damian M. Smith 2- 1 f%3 Z o Z (,„
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 i1 appears on conveyance document
Mikayla Jo Feidpauscha
Address (number and street) Address (number and street)
City, State, and ZIP Code City, State, and ZIP Code
Country Country
US
Email Address
for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
[A � 1. Will this property be the buyer's primary
0 3. Homestead
residence? A 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 (,XI 5. Wind Power Device
for this residence? If yes, provide address: ❑ ® 6. Hydroelectric Power Device
Address (number and street) Q (X 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
26 ^ � t 200 _ 0Li - 430 -- 02\