HomeMy WebLinkAboutHomestead_DubonHLPREPARsR I Tide
'"Lmill Address
Company
'Sol ullons'
Cjntand ZIP Code
LESeller i —Name as it appears on Gonveya
er and t, e ht)
TTn
Ad&ess (number and str-'�
City, State, ani
City Stais and ZIP Code
Country
Country
T I hone Number
Email Address COUN�YAU
correct, and complete as
S I Disclosure, to the best of my knowledge and belief, is true, value of transferred
Under penalties of perjury, I heraby.ce
a 0 ith iC.6-I.J-5.5. A person who knowingly and intentionally falsifies the
real property, 4 .__7�9g_naGre_of Seller
7121/2026
Joel Fowler, V
IDENTIFY ALL THAT APPLY
'J. BUYER(SA N FOR PRopilapm TAX DE13UCTIONS
AOPUCATIO
Buyer 2 — Name as it appears on conveyance document
and ZIP Code
Country CoLmtry
nw (_0' :Telephone, Number
Telephone Number
rriai; Cddress 3_
closure Form maybe used to._p ly
Y2( NO
YES No CONDITION I
1. Will this property be the buyer's primary
CD 4. Soler Energy Heating or Cooling System
residence? __J
-be Vacate
2. Does the buyer have a homestead to FIG power Device
0 for this residence? If yes, provide address: 0 C2( 6. Hydroelect
0 G),- 7- Geothermal Energy Heating or Cooling Device
Address (number and street)
as required by law, and to be provided, commits a Level 6 felony. f0,6te-'S*th 0000
"I ifies any Information required
transferred real property, of omils or fals
-Slil;tur� Of BUY
H. PREPARER
Preparer of the Sales Disclosure Form Title 0i J C V
Email Address J0 v Cv' ✓► Telephone Number
Company n IC:SUOPcaLP�'ptT�ycowt (96(Q ) ago -I
SI 1 SDUrce r -�, Sol u+w)s 5
Add ss (number and street, city, statkl, country, and ZIP Code)
1141�0 kbtt F-Inel' ariVe Sulff qCD CO-0 ov,)sht,lr� Pp 1531"l
I. SELLER(S)IGRANTOR(S)
Seller 1 - Name as it appears an conveyance document
Seller 2 - Name as appearsnEi
document
pY Gt C:
Address (number and stree Address (number and street
City, State, and ZIP Code City, State, and ZIP Code JUL
���� Country
Country
f1 eleph„o�ne� Number
Email Address Tdelepho Number Email Address GIBBON CO
Under penalties of er u I he
certi (o S les Disclosure, to the best of my knowledge and belief, is true, co , l'nd complete as
P j 7,
required by law, and is pr ed in ac a e Ith IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transferee
real property, or omits fal ifies a i fo ion required to be provided, commits a Level 5 felony.
Signature of Sell Signature of Seller
(/dd/ned
Date Si mm Printed Name of Seller Uatc IAyuc�
Printed Name of Se r 9 YYYY}
Joel Fowler, V 7I21I2026
J. BUYER(S)I TEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL THAT APPLY
Buyer 1 - Name as appears on conveyance document Buyer 2 - Name as it appears on conveyance document
om f.1 . -0ubon
Address (number and street) Address (number and street)
Z
SCity, State, and ZIP Code
y, tate, and ZIP Code
C Country
Country
Email Address Telephone Number
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to
YES NO CONDITION
1. Will this property be the buyer's primary
residence?
2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
Address (number and street)
City, State, and ZIP Code
County
Ema
Telephone Number
( )
pply for certain deductions. Identify all of those that apply:
YES
NO
CONDITION
L�-
Q
3. Homestead
p
4. Solar Energy Heating or Cooling System
p
C
5. Wind Power Device
O
CD"
6. Hydroelectric Power Device
p
GY
7. Geothermal Energy Heating or Cooling Device
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 LicenseliDlOther Number is necessary only If a Homestead Deduction Is being Med.)
Signature of Buyer 1 Signature of Buyer 2/Spouse
Printed Legal Name of Buyer 1 Sign Date
Last 5 Digits of Buyer 1
Legal Name of Buyer 2/Spouse Sign Date
Number I Last 5 Digits of Buyer
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