HomeMy WebLinkAboutHomestead_Masters (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Kris L Coon Escrow Officer
Company
Address (number and street, city, state, country, and ZIP Code)
4600 Washington Avenue, Suite 102, Evansville, IN 47714
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seiler 2 - Name as appears on c veyance document
Erica Harpe
Address (number and street) Address (number and street) 14
7802 Indiana 165
City, State, and ZIP Code City, State, and ZIP Code
Owensville, IN 165 414/9
,, -4646
Country Country <5.-
United States of America Q • �Q�
hereby certify this Sales Disclosure, to the best of my knowledge and-d eyi fs�i ue, correct and complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentioiCaflyifies the value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. Q"?` ,.
Signature of Seller Signature of Seller 'Q/)
Printed Name of Seller 1 r V `
Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mmldd/yyyy)
Erica Harpe
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
Timothy Masters Ashley Masters
Address (number and street) Address (number and street)
615 S Barn Ln 615 S Barn Ln
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
United States of America United States of America
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary ❑X n 3. Homestead
'— 0 ❑ residence? n n 4. Solar Energy Heating or Cooling System
p a ❑ 2. Does the buyer have a homestead to be vacated c] n 5. Wind Power Device -
O for this residence? If yes, provide address: ❑ Q 6. Hydroelectric Power Device
t .
taAddress (number and street) Et 7. Geothermal Energy Heating or Cooling Device
rv-I 506 E Monroe Street
i City, State, ZIP code, and County
t— Princeton, IN 47670 1 ,SC.) - C't) • 4-- ( \ - ( c- \oo - 0OA . 80 S O2 -
QUnder penalties of perjury, I hereby certify th(a/t1.1 ,
(is 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
—J transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
( information, SSN/Driver's License/ID/Other Number is necessary only if a Homestead Deduction is being filed.)
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