HomeMy WebLinkAboutHomestead_Reavis (2)19
H. PREPARER . -
Preparer of the Sales Disclosure Form
Title
Katie Felty
Escrow Officer
Company
E-mail address
Telephone number
Foreman Watson Land Title
kfelty@FW-LT,com
(912 } 909A543
Address (number and street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
64L4ER(S)IGRANTOR(S).
Seller 1 — Name as It appears on conveyance document
Seller 2 — Name as appears on wnvegapce document
Undo L. Johnson LMng Truss, under the provision of a Inrsi Instrument dated Mardi 27, 2015
Addr s namberand street
�-n
Address (number and street)
c 0ff
City, state and ZIP Code
City, state, and ZIP Code
O3o
Country
us
Country
us �&
E-mail address
Telephone number
E-mail address S
Telep one number
lindaloisj@icloud.com
(812) 483-8276
( }
and complete as
Under penalties of perjury, I hereby.certify thls Sales Disclosure, to the best of my knowledge and belle ,.�141
required bylaw, and is prepared in accordance with IC 6 1.1-¢.6, A parson who knowingly and Intentionally aalue of transferred
:
real roe y q Pp p rty, or omits or falslllas an Information re ulred to be ravlded, commits a LeVei 5 felony.
PSig ure of eller
Signature of Seller 7
P, n d Name of S II
Date signed (mm/ M/yyyy)
Printed Name of Seller
Dale signed (mmldd/yyyy)
Linda L. Johns , Trustee
14115126
J. BUYER(S)IGRANTEE(S) - APPLICATION FOR PROPERTY TAX DE®uCTIONS - IDENTIFY ALL THAT APPLY:: :
Buyer 1 - Name as it appears on conveyance document
Buyer 2 - Name as It appears on conveyance document
Angela Reavis
Address (number and street)
Address (number and street)
201 East Gibson Street
City, state, and ZIP Code
City, state, and ZIP Code
Haubstadt In 47639
Country
Country
US
us
E-mail address
Telephone number
E-mail address
Telephone number
angel_bear_hugs@hotmail.com
(812) 215-64e3
{ i
Pursuant to IC 6.1.1-1244, the Sales Disclosure Form may qe used to apply for certain deductions. identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
O O 3. Homestead
O O 1. Will this property be the buyer's primary
residence?
❑ O 4. Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated
O O 5. Wind Power Device
for this residence? If yes, provide address:
❑ D 6. Hydroelectric Power Device
O O 7. Geothermal Energy Heating or Cooling Device
Address (number and slreel
o0z) vg - c owl
City, sta, code,andcQqnty
0
Under penalties of perjury, I hereby certify that this Sales Disclosure; to the best of my knowledgge nd belief, Is true,.correct and complete -
as required by law, and Is prepared In accordance with IC 6.1.1.6.5. A person who knowingly an tentionally falsifies the value of
transferred real property, or omits or falelfles any Information required to be provided, commits a Level 5 felony: (Note: Both spouse's
informafton, SSN/Drlvor's License 1010ther NUmberis necessary if a Namesfead Deducrlon is being flied.)
Signature of yer
Signature of Buyer 2/Spouse
nn ed Legal Na"of Buyer 1 Sign Dale (MMfDDJYY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MWDD/YY)
Angela Reavis 4l15126
Last 5 Digits of Buyer I SSN/Drivers License/ID/Other Number
Last 5 of SSN; Q (� �p °� Q
Last 5 Dlglls of Buyer 2/Spouse SSN/Drivers License/IDIOther Number
Last 5
of SSN:
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