Loading...
HomeMy WebLinkAboutHomestead_RobertsH.PREPARER Proparer of the Sales Disclosure Form Title Katie Felty Esomw Officer Company Email Address Telephone Number Foreman Watson Land Title kfelty@fw-It.com (812 J 909-4543 Address (number and street. cily, slate, country, and ZIP Code) 7412 Eagle Crest Blvd Evansville, IN 47715 1. SELLER(S)/GRANTOR(S) Seller 1— Name as it appears on conveyance document Seller 2— Name as appears on conveyance document Thadeus A. Smith Bryna Smith Address (number and strut) Address (number and street) !959 e 150 $5 r )So S Ci Stato, and 'ZIP Code City, State, and ZIP Code ti or TV", CA-c --z-1v `-t Country Country us US Email Address Telephone Number Email Address Telephone Number smiththadeusl 70 c@gma(f.com (812 ) 677-1201 n & 6(.Q Ia) '7 j (o %M"!"; panaiuoa vl pagwly, I naiauy. Gentry IRIS Sales Ulaclosure, to Ine MOW my Knowledge.and belief, is true, correct, and complete as required by law, and Is prepared In accordance with IC. 8-1.1-6.6. A person who knowingly and Intentionally falsifies the Value of transferred ival property, or omits or falsifies any information required to he provided. commits a Level 6 felonv. of of -1111Mu IVm1nd w ZM1IUI uoro 5lgnea immrualyyyy) Primed Nhmeof Seller Date Signed (mnVdd)Wyy) Thadeus A. Smith 18/3/26 Bryna Smith 18/3/26 .J. () BUYER S /GRANT6E(S)'-- APPLICATION FOR PROPERTY, TAX DEOUCTIONS—11DENTIFY ALt THAT APPLY Buyer 1— Name as it appears on conveyance document Buyer 2 — Name as it appears on convey umont Rebecca Ann Roberts Zackery Collin Roberts' Address (number and street) Address (number and slreot) 1022 Cherry St 1022 Cherry St City, State, and ZIP Code Gty, Stale, and ZIP Code . Evan-17 , Country Country C�4 us US 9 EmailAddross Telephone Number Email Address neFrun er2wagnerbecky@gmall.com (812 ) 453-9015 zackerycollin@gmafl.com 215-6100 ��) Pursuant to IC 6-1.1-1244, the sales disclosure Forth may be used to apply for certain deductions. ldentify all of t apply; YES NO CONDITION NO CONDITION IT 0 ® 1. Will this property be the buyer's primary 0 ❑ 3. Homestead residence? [j ❑ 4. Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated ❑ ❑ 5, Wind Power Device for this residence? If yes, provide address: ❑ © 6. Hydroelectric Power Device d 0 7, Geothermal Energy Heating or Cooling Device Address number ands street) 5V City,tate,and ZIP Code Al :" 14-4--:4-13 Under penalties of perjury, I hereby certify 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 64.1-5.6. A person who knowingly and Intentionally falsifies the value of transferred real property, or omits or falsifies any Information required to be provided,- commlta a Level 5 felony. (Note: Both spouse's Info adon, SSWQrlver's UcensefiD/Other Number 19 necessary only if a Homestead Deduction /s being filed.) S alrre of Buyer 1, n 1 Sicimature of BuverVSDouse A. L Printed Legal Name of Buyer 1 " r . Sign Date (MMIDDIYY) Print egal Name of Buyer Tgpouse Sign Date (MWDDIYY) Rebecca Ann Roberts 813126 Zackery Collin Roberts 813126 Last 5 Digits of Buyer 1 SS DrivorIseJ11110ther Number Last 5 Digits of Buyer 2/Spouso SS river's License/iD101hor Number Last 5 of SSN: '? Last 5 of SSN: S j -2-)'�� Page 3