HomeMy WebLinkAboutHomestead_Allen (4) 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
Greg Williams Judy Emilio
Address (number and street) il Address (number and street)
01kieki 0 �� IA —1L\ ONNithIVA Q__ 0 ,
City, State and ZIP,Code City, State and Z-P Code
-14),A)Ls-kAd-\-- --- -% `(---) (0 .-,2 °/ 46uu V3 -1-ckcl-- nAr\Y Lt--) - c-)
Country Country
Email Address
omits or falsifies any information required to be provided, commits a Level 5 felony.
Signatur/of S I r Si atu r • •
1
Printe ame of Seller Date Signed (mm/ddl Prin Name f Seller Date Signed (mm/dd/yyyy)
Greg Williams YYYY) 1_7 i _ A �7 Judy Emilio
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY
Buyer 1 - Name as it a y �*
appears on conveyance document Buyer 2 - Name as it appears o c n y nce D
Brooke Allen Lance Allen
Address (number and street) Address (number and street)
415 S West St 415 S West St APR 2026
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639 Haubstadt, IN 47639
Country Country tiEtsoN�GUnited States of America
YES NO CONDITION YES NO CONDITION
7 ❑ 1. Will this property be the buyer's primary residence? El ❑ 3. Homestead
❑ 0 2. Does the buyer have a homestead to be vacated for 0 2 4. Solar Energy Heating or Cooling System T$.
this residence? If yes, provide address: El 0 5. Wind Power Device `'
Address (number and street) ❑ 2/ 6. Hydroelectric Power Device
0 E1 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County r 22— o \ - oo---o
oa ,L4 b :J L-ci
- ,
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
property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's information, SSN/Driver's