HomeMy WebLinkAboutHomestead_ThomasK PREPARER.
Preperer of the Soles Disclosure Form Title
Haley Lewis Director of Processing
Company Email Address Telephone Nu
Watson Land Title hlewls@fw-lt.com (812 ) 90 mbar
Foreman umber
Address (number and street, city,. state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I-SELLER(s)IG RANTOR(S).
Seller 1-Nome as it appears on conveyence.document
Seller 2-Name as appears on y c docu- ty
Tri
Secretary of Housing and Urban Development
Address (number and street)
Address (number and street)
70 Forsyth St
City, Stele, end ZIP Code
City, State, and ZIP Code JUL Z 8 2026
U U
Atlanta, GA 30303.
Country
Country
U$
Email Address Telephone Number
°Id2-5'100
Entail Address GIBSO/v COUfv e Nu bur
KAti
NIA (ACA )
Under penalties of perjury, l hereby certify this Sales DI3cloaure, to the best, of my knowledge and.ballef, to true, correct, and complete as
In accordance tC 6-1.1 &.5. A who knowingly and Intentionally falsifies the value of transferred
required by lawi and Is prepared with person
real property, or o-0- Information required to be provided, commits a'Level 6 felony.
Signature of Seller Signature of Seller
Printed Name of S. Date Signed (mnuddlyyyy) Printed Name of Seller Date Signed (mmlddlyyyy)
HUD Grace Fewer
J: BUYER(S)JGRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS -• IDENTIFY ALL THAT APPLY
Buyer 1- Nnrne as it appears on conveyance document
Buyer 2 — Name as it appears on conveyance document
Brandon. Thomas
Dana Thomas
Address (number and street)
88 West 800 South, Apartment 3204
Address (number and street)
88 West 800 South, Apartment 3204
City, Slate, and ZIP Coda
City, State, and ZIP Cods
Fort: Branch, IN 47648
Fort Branch, IN 47648
Country
:Country
us
us
Email Address
Telephone Number
Email Address
Telephone Number
jokerslohnsonl1Qgmall.com
(918 )344-7027
bdsthomas11@gmaii.com
(918 )381-7027
Pursuant to IC 6-1.1-12-44, the Sales Ploclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES No CONDITION
YES NO CONDITION
1. Wilt this property be the buyer's primary
® ❑ 3. Homestead
® ❑ residence?
® [Z] 4. Solar Energy Heating or Cooling System
❑ ® 6. Wind Power Device
M( 2. Does the buyer have a homestead to be vacated
❑ for this residence? If yes, provide address:
❑ ® 6. Hydroelectric Power Device
® 7l_I 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
—b � — Q Ll -- OCO' d1-1 U ��
City, State; and ZIP Code County
Under penalties of perjury, I hereby certlfy that this Sales: Disclosure, to the beat of my knowledge and belief, Is true, correct, and complete
as required by law, and is prepared in accordance with IC 8-�.i G.b. A person who knowingly avid Intentionally falsifies the value of
transferred real property, or omlts or falsifies any Information required to be provided, commits a Level 5 felony. (Note: Both spouse's
information, SSN/Arlver'4 Llcenae/1010fher Number Is necessary only Ife Homeafead,Deductlon is being rrfed,)
Ei gnat of BMW 1
Si of Bt er Mpaltpel
It ed Legal Name of Buyer Sian Date iMMlDD/Yl')
Brandon Thomas : � �� ;?
P fed egal Neme of 8uyer2lSpouse Sign Date (MWDDNY)
D na Thomas � � Ali � ? �7 '
Last 5 Digits of Buyer SSN(Driver's LlconseAD/Other Number
Lost 5 Digits of 8t m use SSN17riveis Licensellololher Number
y Last 5 of SSN: � gip D
1 Last 5 of SSN: 1
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