HomeMy WebLinkAboutHomestead_Phelpsf1H.PREPAREIRparer of the Sales Disclosure Form
Title
n K. Mahoney
Attorney
panyEmail Address �Telephone Numberahoney Law Office brian@mahoneylawin.com2 ) 354-8121
Address (number and street, city, state, country, and ZIP Code)
822 E Main Street Petersburg, IN 47567
I: SELLER(S)MRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Estate of Charles Leon Whittington by Debra L. Cain, P.R.
Address (number and street)
425 W. Mulberry Street
Address (number and street)
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, Indiana 47670
Country
United States
Country
Email Address jjje
Number
Email Address
Telephone Number
477- l 46
( )
;Underpenalties of perjury, hherebycertify this Sales=Disclosure, to the.best=of:my knowledge,and belief,. is,true, correct, and: complete as
required by law, andas,prepared=;in,accordance..with,IC6-1.1=5 5. A:person.who
knowingly and,intentionally falsiflesrthe value.oVtransferred . real :p pe: , or- omits ;or`faIsifles,anyinformatlon,required to be:provided,:commits-a1ovoI%5•felony.
e o ellerSignature of Seller
Wrinnted
ame of Seller
Debra L. Cain, P.R.
Date Signed (mm/dd/yyyy)
�4 01Ck AolflA%j
Printed Name of Seller
Date Signed (mm/dd/yyyy)
J. BUYER( YGRANTEE(S) —APPLICATION FOR PROPERTY TAX'DEDUCTIONS•—,IDENTIF A 'PLY
Buyer 1 — Name as it appears on conveyance document
Daniel Raymond Phelps
Buyer —2— Name as it appears on conveya ocu
Address (number and street)
2ZOly 1� 1(2r e
Address (number and street) (_V
p8
City, Aate, and ZIP C de
IN L/7&70
City, State, and ZIP Code
Country 1
United States
c
Country /V
COU
Email Address Telephone Number
Email Address umber
(L74) 77K toSg5
Pursuant,to IC 6 1 ?,1-12-44, fhe SalesDisclosure Form may be used to
appfyforcertaindeductions.,Identify ail of thoseahat applys
YES NO CONDITION
YE NO CONDITION
5d O 1. Will this property be the buyer's primary
O 3. Homestead
residence?
O O 4. Solar Energy Heating or Cooling System
O O 5. Wind Power Device
O 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
O O✓ 6. Hydroelectric Power Device
O ( 7. Geothermal Energy Heating or Cooling Device
G
(9 -
d¢l'08 (number and street) ' 1
pp(� 1 0 ��11
City State, and Z115 Code County
pf3 n i y�v�v
Under penalties,of perjury, hhereby,certify=that`this Sales Disclosure,, to''�ihe;:best of•my knowledge�and-belief, isarue, cot[ect, and complete
asrequired.by law,,and Is';prepared-insaccordance-with-lC 6-1.1 A;person,who
.5. knowingly -and intentionally-falsifiesAa value of
transferred 7real property oromits-oufalsifies any- Inform all on^requlred:to be.:provlded commits�aLevel°5.felony. (Note:: Both spouse's
information, SSN/Drlver s;L .censeliDl0_ fher, Number. is necessaryonly if a.Homestead Deduction is,being;fied.)
Sign;)Myer Signature of Buyer 2/Spouse
7eLk�=
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Daniel Raymond Phelps ci i aaf aoa%,
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Last 5 Digits of Buyer 1 SSN/Driver's LicensellD/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
ly Z 0 15 755 -ItJ
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