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HomeMy WebLinkAboutHomestead_Russell (2)H. PREPARER Preparer of the Sales Disclosure Form title I Nichole A. Judge Legal Assistant Company Email Address Telephone Nurnber McDonald and Rish, Attorneys at Law, LLP _ _ staff@mcdonald-la_w.org _(812 }_385-4.816 __ Address (number and street, city, state, country, and ZIP Code) 120 South Main Street, Princeton, IN 47670 M 1. SELLER(S)IGRANTOR($) i Seller 1 - Name as it appears on conveyance document. Suzette Lee Saxe, Co -Personal Representatives of the EF Address (number and street) 704 S Old Patoka Rd. City, State, and ZIP Code Petoka, IN 47666 Ccuntrf USA Email Address Telephone NurribeT (618 ) 240-2167 Seller 2 - Name as appears on conveyance document Gene Lee James, II, ..Co -Personal Representatives of the Address (number and .street) 7215 Trailwind Dr. City, State, and ZIP Code Brownsburgh, IN 46112 Country USA _ Email Address .� Telephone Number iamesaanQ21 aOmmail_com ! ( 3 Cinder penalties of perjury, I hereby certify this Sales Dfsclosurs, 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 l.i-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, corpmits a Level 5 felony.. :,,Vnatijre >�of Seiler Slgna e f Sell —cle /i vW") 0_?C( 0mo�/ Suzette Lee Saxe, Co -Personal RA I.Gene Lee Jar'rt6s, II, Co -Persona[ D3 Zd Z�z J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY Buyer t - Name as it appears on conveyance document Jonathan Russell Ad - 14 and§jrele,oK aw, T Buyer 2 -Name as it appears an convey) Jl rTrent Heather Dare -Russell T Add (number and street) - /L Ci�-j. ate, and ZIP Code City, State, and ZIP Code dvc Country Country n '— USA ISA r. _,._— Emarl Address Telephone Number Email.Address t toone umber }cnrusse1189@yahoo.t:om ! Bl _3�pQ S%S'1 rndare14@grnailXom C'(gSpN x CG — .. aw.. _ Pursuantto IC 6-1.142-44, the Sales Disclosure Font maybe used to apply for certain deductions. ldentifj all of thane t ( j YES NO CONDITION YES NO CONDITION 1. Will this property be the buyer's primary 7� Q 3. Homestead 4L� X_ residence? .O © 4. Solar Energy Heating or Cooling System 2. does the buyer have a homestead to be vacated O O✓ 5. Wind Power Device O O for this residence? If yes, provide address: p p 6. Hydroelectric Rower Device t Address (number and street) - p QQ 7. Geothermal Energy Heating or Cooling Device I City. State, and ZIP Code County ako -) 01� _ 018 _�1 _ ON. 3q9 _ 091;FS Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best -of my knowledge and belief, is true, correct, and complete I as required .by law, and is prepared in accordance. with IC 5-1.7.5:5, A person who knowingly and intentionally falsifies the value of transferred real property, or omits or falsifies any Information required ro r ommits a Level 5 felony. (Note, Both spouse's r information, S$ V zYver's LicenseA010therNumber is necessary a H d c9an is being flied). Sigalure of Buyer Ay; i Lure of Bu use Q _._ _ ------ anted Legal Namer 1 Sign D e (MNI/DD/Y}'} a of Suyer 2iSpouse Sign Date ( �DDIM Jonathan Russell ��— Heather Dare -Russell Last 5 Di , of Buy e SSNlDriver s LicensellDlOther umber ` Last'SDigits of Buyer 21Spouse SSNlDriver s LicansellblQth a Number CID Page 3