HomeMy WebLinkAboutHomestead_HockerH. PREPARER
Preparerof the Sales Disclosure Form
Title
Katie Feity
Escrow Officer
Company
Emad Address
Telephone Number
Foreman Watson Land Title
kfeity@fw-it.com
(812 } 909-4543
Address (number and street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
1. 9ELLER(S) M RANTOR(S)
Seller 1— Name as it appears on conveyancer document
Seller 2 — Name as appears on c ya um
Madison Biggs
Address (number and street)
`3>E ti ' C)
Address (number and street)
IUL
City, tale, and ZIP Code
City, Stale, and ZIP Code
Country
Country f
G/BS. 2 fey
u5
us �
Email Address
Telephone Number
Email Address
bPr
madison.bicggs01@gmall.com
(812 ) 774-5450
( }
Under penalties of perjury, l hereby certify this Sales Ole closure, to the best of my knowledge and belief, Is true, correct, and complete as
required bylaw, and Is prepared In accordance with Id 6-1.1-6.6. A person wbo knowingly and Intentionally Waffles the value of transferred
real property, or omits or falsifies any information required to be provided,. commits a Level 6 felony.
SignaluLe of Seller —
Signature of Seller
Printed Name of Seller
Date Signed (mmlddfyrM)
Printed Name of Seller
Date Signed (rnmrlddfyyyy)
Madison Biggs
7/1(}12tl
J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS u IDHNTiFY ALL'THAT APPLY
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears on conveyance document
Sherrie Hocker
Address (number and street)
Address (number and street)
:5®j
City, Stat , and ZiP Code
47,*Lle
City, State, and ZIP Code
ra
Country
Country
LIS
US
Email Address
Telephone Number
Email Address
Telephone Number
fneomcakesmom@yahoo.com
(812 ) 664-4005
( }
Pursuant to IC 6-1.1-1244; the Salts Disclosure Form maybe used to apply for certain deductiona. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
❑ 1. Will this property be the buyers primary
El
El 3. Homestead
re Idence?
❑ ❑r 4. Solar Energy Heating or Cooling System
❑ ❑r 5. wind Power Device
2. Does the buyer have a homestead to be vacated
❑
for this residence? If yes, provide address;
❑ ❑ 6. Hydroelectric Power Device
❑ ❑r 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
City, State, and ZIP Code County
Under penalties of perjury, l hereby certify that this Sales Dlaclosure, to the bestof my knowledge and belief, Is true, correct, and complete
as regnlred 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, oromIts or falelflas any Information required to be provided, coin mIts a Level 6 felony. (Note. Both spouse's
Information; SSWDrfver's Lkensell&Othor Number Is riace4aary only ffa Homestead Deduction Is befrig filed.)
%nature of IV B 1
Le I
Signature of Buyer 2/Spouse
nnled Legal Name of Buyer 1 ign Dole (MMIDDiYY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DDIYY)
Sherrie Hocker
Last 5 f3igils of Buyer I SSN/Drivees LicensellD10thor Number
Last 5 Digits of Buyer 2/Spouse SSNfDriver's Lfcense/11NOther Number
Last 5 of SSN: ff a
Lest 5 of SSN:
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