HomeMy WebLinkAboutHomestead_Kraay H. PREPARER
Preparer of the Sales Disclosure Form Title
Pamela Partenheimer Mick Attorney
Company
Address (number and street, city, state, country, and ZIP Code) —
219 N Hart St, PO Box 13, Princeton, IN 47670
•
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Kealie Madison
Address (number and street) Address (number and street)
423 S Jackson Street
City, state, and ZIP Code City, state, and ZIP Code
Oakland City, IN 47660
Country Country
United States
person who knowingly and intentionally falsifies the value of transferred
real property, or omits or falsifiel any information required to be provided, commits a Level 5 felony.
Sin tore of Sel er Signature of Seller
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Printed Name of Seller ' Date signed (mm/a'yyyy) Printed Name of Seller —
Date signed (mmiddfyyyy)
KeJ i loktQ ; C V i i- exi - -
J. BUYERS)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY A L THAT APPLY
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on convey c ument
Christopher Kraay
Address (number and street) Address (number and street)
423 S Jackson Street 4 _1)
City, state, and ZIP Code City, state, and ZIP Code l `C�
Oakland City, IN 47660 /(2
Country T Country 0P6
United States G/e
for certain deductions. Identify all of ) • • • .ly:
.
YES NO CONDITION d '
YES NO CONDITION /y
0 D 1. Will this property be the buyer's primary O Cl 3. Homestead
residence?
0 (4 4. Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 O 5. Wind Power Device
for this residence? If yes, provide address: 0 C) 6. Hydroelectric Power Device
Address (number and street)
El O 7. Geothermal Energy Heating or Cooling Device
City, state, ZIP code, and county
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