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HomeMy WebLinkAboutHomestead_SnyderH. PREP'AREl2 Preparer of the Sales Disclosure Form Title Katie Felty Escrow Officer Company Email Address Telephone Number Foreman Watson Land Title kfeltyc@fw-It.com (812 ) 909-4543 Address (number and street, city, slate, country, and ZIP Code) 7412 Eagle Crest Blvd Evansville, iN 47715 L SELLER(S)IGRANTOR(S) Seller 1 -- Name es it appears on conveyance document Seller 2 - Nemo as appears on conveyance document Debra K. Jobe Address (numbFand street j� _ 17 DU i L4 Address (number and street) City, Slate, and I Cade City, Stale, and ZiP Code County Country us us Email Address Telephone Number Email Address Telephone Number Debrajobe13 r@yahoo.com (812 ) 719-1534 1 ( ) Under penalties of perjury, i hereby certify this Sales Disclosure, to the beat of my knowledge and belief, Is true, correct, and Complete as required bylaw, and is prepared In accordance with iC 6 4.1-6.6. A person who knowingly and I ntentlonally faleifies the value of transferred real proPerty, or o6ilts or falsifies any Information required to be provided, commits a Level 6 felony.. Sign�aturq^Seiler SlflnatuTe of Seller Printed Name of Setter Date Si ed (m ddNm) Printed Name of Seller Date Signed (mmlddlyyyy) Debra K. Jobe .91 J. BUYER(S)iGRANTEE(S) - APPLICA*10k POR.PROPERTY TAX DEDUCTIONS - lD 1F A T L Buyer 1- Name as it appears on conveyance document Buyer 2 - Name as it appears on conveyance docume Stanley Snyder Address (number and street) SEP Address (number and street) 2026 5311 Rosebud Lane 225 City, State, and ZIP Code City, State, and ZIP Cod Newburgh IN 47630 Country Country N COUN , TY AUDIToR ass US Email Address Telephone Number Email Address Telephone Number 1 Jonathan-Snyder@att.net (813 ) 783-4568 ( ) Pursuant to IC 6-1.142-44, the sates Disclosure Fonn maybe used to apply for certaln deductlona. Identify all of those that apply: YES NO CONDITION YES NO CONDITION ❑ 1. WIIi this property be the buyer's prllnary ❑r ❑ 3. Homestead re ence? [0 4. Solar Energy Heating or Cooling System ® ❑ 5, Wind Power Device 2. Does the buyer have a homestead to be vacated for this resldence7 If yes, provide address: ® © 6. Hydroelectric Power Device j] Q 7. Geothermal Energy Heating or Cooling Devlce Address (number and street) _-;�s _ ai—() - `101�;-, COO , 33 City, State, and ZIP Code County 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 6-1.15.6. A person who knowingly and intentlonally falsifies the value of transferred real property, or omits or falsifies any Information required to be provided, commits a Level 6 felony. (Note: Both spouse's Information, SSNJDriver•`s Lfcense/iD/Ofher Number fs necessary only if a Homestead Deducdon is being fried.) f er Sx1lddL'0Ual Signature of Buyer 2/Spouse ame o yer Sign Date (MMIDD/YY) Printed Legal Name of Buyer 215pouse Sign Date (MMIDUNY) Stanley Snyder Last 5 Digits of Buyer 1 SSWDriver' LiransellDlDther Number Last 5 Digits of Buyer2fSpouse SSN/Driver's LicenseflDlOther Number Last 5 of SSN: ( 1 Last 5 of SSN: Page 3