HomeMy WebLinkAboutHomestead_ColemanH.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
{. SELLER(S)IGRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears onionke n doc e t
Morgan J. Hinton
Address (number and street)
Address (number and street) -AL dr
8913 County Road 360 South
City, State, and ZIP Code
City, State, and ZIP Code 2026
Oakland City, IN 47660
Country
Country '
us
GIBS
Email Address
Telephone Number
Email Address Ty
Number
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( 512- ) 5-92 -0 Y37
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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 an formation required to be provided, commits a Level 5 felony.
Signatu o
Signature of Seller
Printed Name of Sell
Date Sigr?ed (mm/dd/yyyy)
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Morgan J. Hinton
t
I BUYER(S)IGRANTEE(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
Jennifer Coleman
Brvan Coleman
Addres (number and street)
Address (number and street)
, o 5
Cityte, andyPCode
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City, State, an Co
Country
Country
US
us
Email Address
Telephone Number
Email Address
Telephone Number
( $ i Z. )Q.cp---s-128
I
I (-I�la )&k-4%-2t C�
rsuant 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:
ES NO CONDITION
rY
YES NO CONDITION
1. Will this property be the buyer's primary
® O 3. Homestead
® O residence?
O (N 4. Solar Energy Heating or Cooling System
O ® 5. Wind Power Device
2. Does the buyer have a homestead to be vacated
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for this residence? If yes, provide address:
O ® 6. Hydroelectric Power Device
O ® 7. Geothermal Energy Heating or Cooling Device
)(_ t -B� - 1 oo _ o�� -Is ` (P — 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 bylaw, 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
J SSA/Driver's LicensOD/Other Number is necessary only if a Homestead Deduction is being filed.)
f Buyer 1
ture of Buyer 2/S usof
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S.al
Na
a of Buyer 1 Sign Date (MM/DD/YY)
Printed gal Name of Buyer 2/Spouse Sign Date (MMIDD/YY)
leman
Brya Coleman
s of Buyer 1 SSN/Driver's License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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