HomeMy WebLinkAboutHomestead_DuncanH. PREPARER, .
Preparer of the Sales Disclosure Form
Title
Brian K. Mahoney
Attorney
Company
Mahoney Law Office
Email Address Telephone Number
Address (number and street, city, state, country, and ZIP Code)
brian@mahoneylawin.com (812 ) 354-8121
822 E Main Street Petersburg, IN 47567
L SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Steve T. Schenks
Seller 2 — Name as appears on conveyance document
Ginger E. Schenks
Address (number and street)
831 W College Street
Address (number and street)
831 W College Street
City, State, and ZIP Code
Oakland City, IN 47660
City, State, and ZIP Code
Country
Oakland City, IN 47660
United States
Country
United States
Email Address Telephone Numb e
(a I Z) to -
Email Address Telephone Number
41190 45 -77
Under penalties. oUperjury,.) hereby. certify411IWSales Disclosure, to the+best,of,my knowledge and`beiief, 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 orfalsifies,any information require&to be -provided, mits.a Level 51felo Y.
Sign ture of Sellers
Jt
e f eller
Printed Name of Seller Date Sig ed mm/dd/yyyy)
Steve T. Schenks
Printed Na of Seller Date Sig d m/dd/yyyy)
Ginger E. Schenks
J. BUYER(S)/GRANTEE(S-) - APPLICATION FOR -PROPERTY. TAX
DEDUCTIONS IDENTIFY ALL THAT APPLY
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears on conveyance document
Christopher R. Duncan
Amanda R. Duncan
Address (number and street)
426 N Jackson Street
Address (number and street)
426 N Jackson Street
City, State, and ZIP Code
Oakland City, IN 47660
City, State, and ZIP Code
Oakland City, IN 47660
Country
United States
Country
United States
Email Address Telephone umber
(a !2 )&& - 3
Email Address Telephone Number
( )
_
Pursuantto IC 6 1.1-12-44, the Sales' Disclosure• Form may be,used "to apply for certain deductio . Id a o hose that a I
_ Ppy:.
YES NO CONDITION
YES NO 1 O
O O 1. Will this property be the buyer's primary
OO O 3. m,
residence?
O O✓ 4. olar Energy CoolinSystem
O O 2. Does the buyer have a homestead to be vacated
lattOr
O (2)5. Wnd P r Mice
for this residence? If yes, provide address:
O O 6. Hydroelectric Power
��
Address (number and street)
1�
O O✓ 7. Geothermal En�r� or Cooling Device
��--
City, State, and ZIP Code County
GO v
{
OU
Undetpenalties of perjury,,fhereby, certify that thls--Sales Disclosure, to;the bestofmyknowiedge=and belief, is true, correct, and complete
as^re.quired°by law, an&ls prepared Imaccordance with,IC 6-1.1-5 5. A person who*nowingly andsintentionallyfalsifies-the value
of
- transferredreaV r erty, or oniits.or°falsifies any� information req ulredto:be-,provided, commits a.Le GF54olony.. (Note: Both spouse's
4nf SN/DrN,L`icens;0DLO,th6rNumber isnecessary°oni f,aHo `Dedu 'onis eingrfled)
ign re of B yer 1
-estea
e of yer ous
Printed
Aried
Lega ame of Buyer 1 Sign Date MM/ D/YY)
Christopher R. Duncan ®®��
Legal Name of B 2/Spouse Sign D t MM/DD/YY)
Amanda R. Duncan
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
Last 5 Digits of Buyer 2/S ouse SSN/Driver's License/ID/Other Number
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