HomeMy WebLinkAboutHomestead_EstuestaH. PREPARER
Preparer of the Sales Disclosure Form
Title
Milton Norman
Settlement Agent
Company
Email Address
Telephone Number
Hometown Title LLC
orders@hometowntitles.com
( 812 ) 461-6399
Address (number and street, city, state, country, and ZIP Code)
25 NW Riverside Drive, Suite 310, Evansville, IN 47708
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
Mission Real Estate Group Inc
Address (number and street)
Address (number and street)
tt
328 E Oak St
)11�1
City, Slate, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
El
Country
Country
Us I
�f
Email Address
Telephone Number
Email Address
�lephone Number
Under penalties of perjury, I hereby certify this Sales Disclosure, tote best of my knowledge an 'v i e, correct, and complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intenti�j4yy s the value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. 9C/
Signature of Seller_ f"�. F •
Signature of Seller OR
s
Printe, a-Nwe of Seller . =
Date Signed (mm/dd/yyyy)
Printed Name of Seller
Date Signed (mmldd/yyyy)
James M. Chappell, President
C/ - /i 7,--,; /' .
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
Robelie Re atacodo Estuesta
Roberto F. Evangelista
Address (number and street)
Address (number and street)
316 West Emerson Street Apartment APT D
316 West Emerson Street Apartment APT D
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country
Country
us
Email Address
Telephone Number
Email Address
Telephone Number
robelleestuesta21@gmaiLcom
( • g" 3a5-25,g4
Obetevangelista2D@gmaiLcom
B f2 j 3>Ttr 401
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
1. Will this property be the buyer's primary
® 0 3. Homestead
® 0 residence?
0 ® 4. Solar Energy Heating or Cooling System
0 ® 5. Wind Power Device
0 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
0 ® 6. Hydroelectric Power Device
0 ® 7. Geothermal Energy Heating or Cooling Device
26-12-07-201-000.201-028
Address (Lumber 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, 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
in rmation, SSN/Driver's LicensellD/Other Number is necessary only if a Homestead Deduction is being filed.)
'Buyer 1
Y 41vilYV
Signature of Buyerg Spouse
g
Pr'
v�l
C . ~ . '
i ted Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Pri ted Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Robelle Repatacodo Estuesta liiRoberto
F. Evangelista
Last 5 Digits of Buyer 1 SSN/Driver's License er Number
Last 5 Digits of Buyer 2/Spouse SSN/Drive' License/ID/Other Number
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