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HomeMy WebLinkAboutHomestead_Wright (2)H. PREPARER Preparer of the Sales Disclosure Form Title Milton Norman Settlement Agent Company Email Address Telephone Number HQmetown Title LLC orders hometowntftles.com ( 812 ) 461-6399 Address (number and street, city, state, country, and ZIP Code) 25 NW Riverside Drive, Suite 310, Evansville, IN 47708 I, SELLERS)/GRANTOR(S) Seller I - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Patricia A. Kiefer Amanda Kaye Wills Address (number and street) Address (number and street) 304 S Race St 304 S Race St City, State, and ZIP Code City, State, and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country us US Email Addre Telephone Number S�(z �21 j- ( 7 L2 Email Addr s �'c � ls� Mai t Telephone Number & Q 1) 4g S- 335lp Ce_ , Under penalties of perjury, l hefiby certify this Safes Disclosure, to the best of my knowledge and bel ef, is true, correct, and complete as required by law, and is prepared in accordance with IC ti-1.1.6.5. 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. nature of Seller Signat of Se er uz, Printed Name of Seller v Date Signed (mrm�/dd/yyyy) Printed Name of Seller Da Sign1e'd (mm/dd/yWy) Patricia A. Kiefer I ` �L QLp Amanda Kaye Wills r� I BuYER(S)/GRANTEE(S) -- APPLICATION FOR PROPERTY TAX DEDUCTIONS- I ( L THAT APPLY Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as'aska ars Ariveyance document Ca Wright.... -me .Address (number and street) Address (numbs nd et) 625 S 2nd Ave Apt 106 -' City, State, and ZIP Code City, State, and ZIP Code r �pP1 Princeton, IN 47670 vV �0� Country Country US G Email Address Telephone Number Email Address Telephone Number wrightcarrie264@gmail.com I ( 812 ) 821-7757 G�12 ( ) Pursuant -to IC 6-1.14244,..the:Sates Disclosure Form may be used to.apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1. Will this property be the buyers primary I@ 0 3. Homestead ® 0 residence? 0 ® 4. Solar Energy Heating or Cooling System © ® 5. Wind Power Device 2. Does the buyer have a homestead to be vacated 0 for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device 0 W 7. Geothermal Energy Heating or Cooling Device Address (number and street) p��r/ (� I —10 U v/yt 1 ray' 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 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, SSWDriver's LicenseliDl Number is necessaryonly If Homestead Deduction is being filed:) Signature of Buyer r Signature of Buyer 2/Spouse Printed Legal NaM of Buyer 1 Slgn j (M DD YjjY,,,) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Carrie Wright a(01 Last 5 Digits of Buyer 1 SSN/Driver's License/010ther N4mber last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number -G 7 -K -r-) 2-_ Page 3