HomeMy WebLinkAboutHomestead_Garrison (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D. Tracey Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it appears on conveyance document
Kathryn Louise St. Clair \Di S) v\ L, .
Address (number and street)� Address (number and street)
7 430 S5 Dr. �_{ 11 6/ 0-VIA \--\1\ 1 0 Vim'
City, State and ZIP Code City, State and ZIP Code
Evansville, IN 47712 _,
Country Country
United States of America ,
Email Address
Under penalties of perjury, I hereby certify 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 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.
Signature of Seller ..citLti,.nC ,, gnature of Seller
....5,./ acct.f. ja.16
Printed Name f Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mmidd/yyyy)
Kathryn Louise St. Clair YYY _20 . z V)
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
Austin Garrison _ _ Y 1
Address (number and street) Address (number and stree
416 E. Walnut St.
City, State and ZIP Code City, State and ZIP Code
-0)
Owensville, IN 47665 44) 2
CountryCountry �Q�
- sm� .
United States of America 4'2e-c4,ce...e,Email Address
certain deductions. Identify all of tfi apply:
YES NO CONDITION YES NO CONDITION
❑ ❑ 1. Will this property be the buyer's primary residence? 0 ❑ 3. Homestead
❑ 0 2. Does the buyer have a homestead to be vacated for
❑ 0 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: ❑ Eel 5. Wind Power Device `'44. irVt'
0 0 6. Hydroelectric Power Device
Address (number and street)
0 0 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
.caU ' \1 - C71 - ( 0 :3 - CCO - U OA - C c •)a _.
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 person who knowingly and intentionally falsifies the value of transferred real