HomeMy WebLinkAboutHomestead_Smith (32) H. PREPARER
Preparer of the Sales Disclosure 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 ey7a ment
i Olivia Birdwell
{ ~Address (number and street) Address (,number and street)
9596 W 575 S /Ce�
City, State,and ZIP Code City, State, and ZIP Code 0�
-1:4)
Owensville, IN 47665 ?Q�6,
Country Country A.,:feee_c„../6,s
US Off/CO Q
Email Address
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Under penalties of perjury, I hereby certify this Sales Disclosure, to the 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 nature of lie[ 7 Signature of Seiler. U4 .
Printed Name of Suer Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mrn/dd/yyyy)
Olivia Birdwell O2 I Q3 ( i, _
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
Damian M. SmitI . Chelsea Smith
Address (number and street) Address (number and street)
8874 S Meadow Ln 8874 S Meadow Ln
City, State, and ZIP Code City, State, and ZIP Code
Owensville, IN 47665 Owensville, IN 47665
Country Country
US US
Email Address
apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's pnmary (Z 0 3. Homestead
3 0 residence?
0 ® 4. Solar Energy Heating or Coaling System
,
2. Does the buyer have a homestead to be vacated 0 CYJ 5. Wind Power Device
A 0 for this residence? if yes, provide address: 0 ® 6. Hydroelectric Power Device
- Address (number and street) 0 Ob 7. Geothermal Energy Heating or Cooling Device
g9 7L( -r3t61p -i v,;
City,
ty State, a ZIP Code County
G1 \ 7 ^O� ^ �c) O !L. . f) O ^ O2 /
-'-C Ii-l-E / bnJ y7G45 Gr s dQC - b
Under penalties of perjury, I hereby certify that this Sates Disclosure, to the 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. (Note; Both spouse's
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