HomeMy WebLinkAboutHomestead_Holcomb 1 H. PREPARER
Preparer of the Sales Disclosure Form Title
Katie Felty Escrow Officer
Company
Address (number and street, city, state, country, and DP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)IGRANTOR(S)
Seller 1 Name as it appears on conveyance document Seller 2 -Name as appears on conveyance document
Wyatt C. Carter
Address (number end st�reeett,) , 1Address (number and street)
€Q,
5.
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-4,1
City,pte, and ZIP Code f City, state, and ZIP Code
Country Country
us us �'�
S
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowredge and t!' e, correct and complete as
required by law, and is prepared In accordance with IC 6-1.1-5.6. A person who knowingly and Intentlo i1 ,. 81290 the value of transferred
real property, or omits or falsifies any Information required to be provided, commits a Level 5 felony.
Si nature of Seller Signature of Seller (.T0i,
iri
C'et
(41141444A-
P 'Z Name o slier Date signed (mrn1dd/yyyy) Printed Name of Seller Date signed (mm/dd/yyyy)
yatt C. Carter 2/27/26
J. BUYER(S)iGRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 -Name as It appears on conveyance document Buyer 2- Name as II appears on conveyance document
Brian L. Holcomb
Address (number and street) Address (numberandstreef)
6/948ic ATora%.- ___iicad3.01_60,..1
City, state, and ZIP Code City, state, and ZIP Code
I407.„e ) 14 70(3
Country Country
US US
I
( )
Pursuant to IC 6-1.1-12-44, the Sates Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 Q 1. Will this property be the buyer's primary �'-� O 3, Homestead
residence? 0 0 4, Solar Energy Heating or Coolin> yste
2. Does the buyer have a homestead to be vacated U O 5, Wind Power Devito `'' r
far this residence? If yes, provide address. 0 0 6. Hydroelectric Power Device
I Address (number end street) p O 7, Geothermal Energy Heating or Cooling Device
____,1331,____X,__Ms t _
(T City, state, ZIP code, and county 2G - o -- \ Z `lO Q-v C�C� . 0 2) 1 �-
r ( Pr: vt LA/1;#%, ' Ax LI 11 (prIO G_ Lbay)COw ,
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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Last 5 of SSN:
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