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HomeMy WebLinkAboutHomestead_Knapp (8) H. PREPARER ; Preparer of the Sales Disclosure Form - Title -_ Sandra L. Hicks Attorney Company Address (number and street, city, state, country, and ZIP Code) .843 S. 9th Avenue, Haubstadt, IN 47639 ,- I. SELLER(S)/GRANTOR(S) Seller 1 - Name as it appears on conveyance document Set r 2 - Name as appears c y ce eent Joseph M. Knapp Kat y S. Knapp --,Address (number and street) Ad ress (number and street) 11673S50W 116 3S50W City, State, and ZIP Code Cit State, and ZIP CodeFEBi Haubstadt, IN 47639 Ha bstadt, IN 47639 FC 2 6 202c • Country v �`� Co ntry Gibson County - USA Email Address 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. natu e of S Iler A Signature of Seller -5 Pri ed Nam o1 " ` eller Date Si ned (m /dd/yyyy) Printed 'Jame of eller Date Signed (mm/dd/yyyy) Jos ph M. napp (1.* ky___y__ __-_<.#_____ '3/--' ,/6 'Z:).:;2-6. 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 Daniel J. Knapp Address (number and street) Add Ness (number and street) 11672 S 50 W11673 S 50 W City, State, and ZIP Code City, State, and ZIP Code Haubstadt, IN 47639 Country Cou itry Gibson County - USA 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 YE NO CONDITION El ID residence? Will this property be the buyer's primary ❑ ❑ 3. Homestead residence? - 1 ❑ El 4. Solar Energy Heating or Cooling System ❑ ❑ 2. Does the buyer have a homestead to be vacated El ` ❑ 5. Wind Power Device `r�,�; 4 v.- for this residence? If yes, provide address: w El El 6. Hydroelectric Power Device '' Address (number and street) El El 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County 4 / --„_2? r6 n T - ,g(;) V44i Under penalties of perjury, I hereby certify that 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 perso who knowingly and intentionally falsifies the value of transferred real property, or omits or falsifies any information required to • , provided, commits a Level 5 felony. (Note: Both spouse's Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number Page 3