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HomeMy WebLinkAboutHomestead_Lindy 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. SELLER(S)IGRANTOR(S) Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on convey ce current Timothy Masters Address (number and street) Address (number and street) 615 S Barn Ln4 , City, State, and ZIP Code City, State, and ZIP Code '7ry Princeton, IN 47670 ( /Q� Country Country United States of American Q/4 , ij l0� P O 0 hereby certify this Sales Disclosure, to the best of my knowledge and belief, is' rect and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally fa e value of transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. Qir? Signature of Seller Signature of Seller f--_>1"y aQ 1 sC;`') Printed Name of Seiler go.te Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mm/ddiyyyy) Timothy Masters 1 3 cl�,l ,, J. BUYER(S)1GRANTEE(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 Travis Lindy Shannon Lindy Address (number and street) Address (number and street) 506 W Monroe St 506 W Monroe St City, State, and ZIP Code City, State, and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country YES NO CONDITION YES NO CONDITION 0 El 1. Will this property be the buyer's primary ❑X 1-1 3. Homestead residence? r--1 0 4. Solar Energy Heating or Cooling System � 2. Does the buyer have a homestead to be vacated 0 5. Wind Power Device ❑ lX1 for this residence? If yes, provide address: 11_ 0 6. Hydroelectric Power Device Address (number and street) LJ 0 7. Geothermal Energy Heating or Cooling Device City, State, ZIP code, and County --(1 r )7.-- 0 7 - ) O2 - 00 `i . r t-6--U Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete IiI 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 l --q)