HomeMy WebLinkAboutHomestead_StrangH.PREPARER
Preparer of the Sales Disclosure Form
Title
Nichole A. Judge
Secretary
Company
Email Address
Telephone Number
McDonald Law Office
staff@mcdonaId-law.org
(812 ) 385-4816
Address (number and street, city, state, country, and ZIP Code)
120 South Main Street, Princeton, IN 47670
I. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Connie Knight, Personal Representative of the Estate of Vic
Address (number and street)
Address (number and street)
2028 N. Gladewater Ave.
City, State, and ZIP Code
City, State, and ZIP Code
Meridian, ID 83646
Country
Country
USA
Email Address
Telephone Number
Email Address
Telephone Number
LOUSINNCLK@VERIZON.NET
(909 ) 913-1828
( )
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.`
Sig ture of Sell
Signature of Seller
Printed Name of eller
Date Signed (mm/dd/yyyy)
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Connie Knight
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
Eric Strang
Address (number and street)
Address (number and street)
915 N Polk Dr.
City, State, and ZIP Code
City, State, and ZIP Code
Oakland City,IN 47660
Country
Country
USA
Email Address
Telephone Number
Email Address
Telephone Number
(317 )851-7029
( )
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to
apply for certain deductions. Identify all of those that.apply:
YES NO CONDITION
YES NO CONDITION
O O 1. Will this property be the buyer's primary
O O 3. Homestead
residence?
O p 4. Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated
O O 5. Wind Power Device
for this residence? If yes, provide address:
O O 6. Hydroelectric Power Device
O D 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
City, State, and ZIP Code County
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct 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 ue f.
transferred real property, or omits or falsifies any information required to be provided, commits a Level.6 felony.. (Note:. Bo se's
information, SSN/Driver's Ucense lD/Other Number is necessary only if a Homestead Deduction. is being filed.) c�
Signat of Bt]yer 1
Signature of Buyer 2/Spouse N
Printed gal Name of Buyer 1 Sign Date DNY)
Printed Legal Name of Buyer 2/Spouse Sign Da DDNY� e (MM
Eric Strang
rV1
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
11 01
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/I lmffumbee�
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