HomeMy WebLinkAboutHomestead_PowersH. 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
Tammie S. Isaacs
Address (number and street)
Address (number and street)
9264 S State Road 57
City, State, and ZIP Code
City, State, and ZIP Code
Elberfeld, IN 47613
Country
Country
us
Email Address
Telephone Number
Email Address
Teleph N ber
Under penalties of pedury, I hereby certify this Sales Disclosure, to the best of my knowle `belief, Is true, t7ect, and complete as
required by law, and Is prepared in accordance with IC 6-1.15.5. A person who knowingly an i"l finally falsifies the value of transferred
real property, or omits or falsifies any Information required to be provided, commits a Level 5 felon'�j(,
Signature of Seller
Signature of Seller
Printed Name of Seller
Date Signed (mmJdd/yyyy)
Printed Name of Seller
/Date Signed (mm/dd/yyyy)
Tammie S. Isaacs
J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS— IDENTIFY ALL THAT APPLY
Buyer 1 — Name as it appears on conveyanoe.document
Buyer 2 — Name as it appears on conveyance document
Kitty Powers
Ben Powers
Address (number and street)
Address (number and street)
1224 S Prince St.
1224 S Prince St.
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country
Country
US
US
Email Address
Telephone Number
Email Address
Telephone Number
( 812 ) 215-6836
1(On
) A15-' lap3
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
IN O 1. Will this property be the buyer's primary
® O 3. Homestead
residence?
p ® 4. Solar Energy Heating or Cooling System
0 ® 5. Wind Power Device
0 2. Does the buyer have a homestead to be vacated
x
for this residence? If yes, provide address:
p ® 6, Hydroelectric Power Device
® (g 7. Geothermal Energy Heating or Cooling Device
Z 6'ZO -2 8, 2De)— 1 ' oof — 00
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, and complete
as required by law, and Is prepared In accordance with IC 6-1.15.5. A person who knowingly and intents ally falsifies the value of
transferred real property, or omits or falsifies any Information required to be provided, commits a Level f ony. (Note: Both spouse's
lnformat/on, SS Driver's LicenseliD/Other Number is essary only if a Homestead Deduction is be' Hl .)
Sign; of Buy 1
R�Wr 17Z
Signature of B
Y;�V�
Prime I Na6e of Buyer 1 Sign Date (M /DD/YY)
Printed Legal Na uyer 2/S se Sign Date kmw DOIYY)
Kitty Powers
Ben Powers
Last 5 Dlg� of B er 1 SSN/Driver's License/ID/Other Number
Last 5 Di its er 2/Sp se SSN/Drivei's LicenseAD/Other Number
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