HomeMy WebLinkAboutHomestead_GherH.PREPARER
preparor of tho Solos Disclosure Form
Allyn Tresenrller
Company
Foreman Watson Land Title
Address (numaer nnu sued r, Lily, �"moo """"•,, '", "" ^..
7412 Eagle Crest Blvd Evansville, IN 47716
I. SELLIRR(S)IGRANTOR(S)
Seller I --a3Varne as 11 appears on conveyance document
Estate of Donna J. Sce(t
and ZIP Coda
Country
USA
Email Addross
r.scotlfe,cameronQmao.com
Under panattles of porj^ 1 hereby
required by law, and le prepared In
real property, or omlte orfalalflDo a
Signature or Seller111v=K
Tltto
Escrow Officer
AT�RESENRITER&W-LT.COM 1 (812 ) 000-4643
Seller 2— Name as appears on cepxgq nco document
and
City, State, and ZIP Code
2 Country 26
USA
Tel phone Number
TT(ealeplonoNumber Emall Address iBS916 ) 6ti6-2559 ompleta as
rtlfy tills 8a1ee. Dlsclopure; to Ihe.beat of my knowledge and belle , ySri of transferred
)ordance.with IC 04,1.6.5. A person who knowingly and Intentional) falalilee
Information required to pe provided; commits a Level 6 felony,
, , Signature of 3e11or
Ronald $Coll Cameron, porsonal Roproeantallva 05105/2026
J: BMR(S)IGRANT13EM -�- APPLICATION FOR PROPERTY TAX DEP U a os®tNS —.IDENTIFY
s on conveyance THAT
docuAPPLY
um
Buyer 1— Name as it appears on conveyance docent sY
ent
Owen Joe Charles Gher Address (number andstroet)
Address (numbar and street)
1313 South Baldwin Court City, Slate, end ZIP Code
City, Slate, and ZIP Code
Princeton IN 47670
country USA
USA mall Address Telophone Number
Email Address Tolophorte Number ( )
ly;
ewen1oe29 c@gmall,corn (t3113 ) 282-1445
Pureualtt to IC t3-1.1.12.44, the sales Disclosure Form may be ur3ad to apply for certain dodttctlons. Identify all of these chat app
YES NO CONDITION YI:B NO CONDITION
❑ ❑ 1. WIII this property ba the buyer's prlmary
(� ❑ 3. Homestead
residence? ® 0 4. Solar Energy Heating or Cooling System
❑ ❑ 2, Does the buyer have ® homestead to be vacated 13 0 5. Wind Power Device
for this residence? If yes, provide address: ® a. Hydroelectric Power Device
Address (number and shoal) ❑ ® 7. C3eathennal Energy Heating or Cooling Device
City, Slate, and ZIP Cade
County,-
Under peuollioe or perjury, I hereby certify that lilts solos Dlaciosuro, to 1110 Wet of my kuowledpe and belief, Is true, CQrraCI, And completo
as requlrerl by lour, and la prepared III accordance with IC 6.1.1-5.6. A person who knowingly and Intentionally tafaotortBo dr stpouso's
transferred Taal properly, eremite or falsifies any hrfarmatlon required to be provided; comlhiie a Laval 6 felony.
drtfornIallon, SSNIDrlver's tfconso/1D10thar t4timbarls rracossary Orrly ire g Signature of Buyer 7J5tood tpouslon le befnr! Rdorl,)
Pnta
of®r1gal Name of a Slgn Data (MM/DDIYY) Printed Legal Nama of Buyer wSpouso Slgn Dola (MtIIDDNY)
Owen Joe Charles Gher 06/06/2028
lls o[ Buyer ?JSpouse SShuDriva s ticensellU101per Number
Las 5 Dlgils of Buyer 1 35 Drivers censetlDl0lher umber Lost ti Lost 5 Dlg19 SSN:
Last 0 of SSN: 40521
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