HomeMy WebLinkAboutHomestead_Moody H. PREPARER JPreparer of the Sales Dsclosure Form
Title
Milton Norman Settlement Agent
Company
Address (number and street. city, state, Country, and ZIP Code)
25 NW Riverside Drive, Suite 310, Evansville, IN 47708
I. ELLER(S)IGRANT0R(S)
I
Seller 1 - Name as i1 appears on conveyance document Seller 2 - Name as appears on co n d nt
Danny L. Moody, surviving tenant by the entirety with Jeanine L Moody, r
IteleffInfrfilltnleer and street) Address (number and street) &1)
and ZIP Code City, State. and ZIP Code O
11 rl x4 e ro,v . 4/ 4i? 4 41,0 etz-26
Country Country
US C/eSO
Email Address
t) - , . )
Under penalties of perjury, t hereby certify this Sates Disclosure, to the best o1 my knowledge and belief, la true, c l'. d 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 ua of transferred
real property, or omits or falsifies any Information required to be provided, commits a Level 5 felony.
Hof Seller Signature of Seller
ne"
Pnnted Name of Seder Gass eatd (mm/dd/yyyy) Printed Narne of Seller Date Signed (mm/dd/yyyy)
Danny L. Moody, surviving tenant by the 4 - .2- 2 4
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 - Name as iI appears on conveyance document Buyer 2 - Name as it ap
pears on conveyance document
Jacob Moody
Address (number and street) Address (number and street)
329 South 5th Avenue 3
City, State, and ZIP Code City, State, and ZIP Code
, Princeton, IN 47670
Country Country
US
Email Address
apply for certain deductions. Identify all of those that apply:
YES NC) CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's primary 20 0 3. Homestead
GS residence? _ 0 G9 4. Solar Energy Heating or Cooling System
uyer have a homestead to be vacated C (X S. Wind Power Device
❑ for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
.a
City, Slate, and ZIP Code County A(.),_ 2 ^ 8 r .,1 1 2� 2 - 0�0 3 --0 2
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