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HomeMy WebLinkAboutHomestead_HillI I H. PREPARER Preparer of the Sales Disclosure Form Title Daphne Kramer Paralegal Company Email Address Telephone Number McDonald Law Office staff@mcdonald-law.org (812 > 385-4816 Address (number and street, city, state, country, and ZIP Code) 120 S Main Street, Princeton, IN 47670 I: SELLER(S)/GRANTOR(S) Seller 1 — Name as it appears on conveyance document Seller 2 — Name as appears on conveyance document Joseph E. Kramer Address (number and street) Address (number and street) 2291 E 600 S City, State, and ZIP Code City, State, and ZIP Code Fort Branch, IN 47640 Country Country USA Email Address Telephone Number Email Address Telephone Number nofear3l02@yahoo.com (812 ) 664-1028 1 ( ) Under penalties of perjury, l 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. Signature of Sellers Signature of Seller P ted NTMe of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy) Joseph E. Kramer 3 ` 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 Laney J. Hill Devon M. Hill Address (number and street) Address (number and street) 557 S White Church Rd 557 S White Church Rd City, State, and ZIP Code City, State, and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country USA. USA N Email Address Telephone Number Email Address Telephone Num r o (812 ) 632-1281 (812 ) 09P481 Pursuant to IC 6-1.1-12a44, the Sales Disclosure Form maybe used to apply for.certain deductions. Identify all of those tha YES NO CONDITION YES NO CONDITION 1. Will this property be the buyer's primary (2) O 20 3. Homestead residence? O (2) 4. Solar Energy Heating or Cooling System 0 (2) 5. Wind Power Device 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: O O✓ S. Hydroelectric Power Device O (2) 7. Geothermal Energy Heating or Cooling Device Address (number and street) 557 S White Church Rd n / n_ ®a 5 �4 City, State, and ZIP Code County Princeton, IN 47670 USA j 7 , � � qa , ©O t) 7 l..o / 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 Lic nsetlD/Other Number is necessary only if a Homestead Deduction is being riled.). ignatu Buyer 1 Sig re of Buy 2/Spouse rF t° n n d egal Name f B ye 1 Date (MM DD/YY) 6ted Le ame of Buyer 2/Spouse Sign Date (MM/D /YY) Laney J. Hill lQ evon . Hill ©S - —, - Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number Ulf Page 3