HomeMy WebLinkAboutHomestead_SchleterH.PREPARER
Preparer of the Sales Disclosure Form
Title
Milton Norman
Settlement A-cient
Company
Email Address Telephone Number
Hometown Title LLC
orders@hometowntitles.com ( 812 ) 461-6399
Address (number and street, city, state, country, and ZIP Code)
25 NW Riverside Drive, Suite 310, Evansville, IN 47708
1. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
Luke Parker a/k/a Luke J. Parker
Address (number and street)
Address (number and street)
9274 E State Road 168
City, State, and ZIP Code
City, State, and ZIP Code
Oakland City, IN 47660
Country
Country
us
Email Address
Telephone Number
Email Address
Telephone Number
Under penalties of perjury, 1 hereby certify 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 falsifes the value of transferred
real property, or omits or fal Ifies any inf tion required to be provided, commits a Level 5 felony.
Sinaxure oSeller f
Signature of Seller
f' ,'
anted Name of eller V Ll
rMTe Signed (mm/dd/yyyy)
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Luke Parker aWa Luke J. Parker
10/16/2 6
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 con ce document
Ralph Jack Michael Schleter
Address (number and street)
Address (number and street)
9724 E State Rd 168
City, State, and ZIP Code
City, State, and ZIP Code
O
Oakland City, IN 47660
Country
Country
US
Email Address
Telephone Number
Email Address
phole Number
i2) �10 -�q{��
GIBSONC
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that a pl
YES NO CONDITION
YES NO CONDITION
® 0 1. Will this property be the buyer's primary
(9 0 3. Homestead
residence?
0 ® 4. Solar Energy Heating or Cooling System
0 (9 5. Wind Power Device
0 M 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
0 (9 6. Hydroelectric Power Device
0 ® 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
of _0q0 _ 16 -aOA - 0W QJ� - c�j �}
City, Slate, 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, SSN/Driver's LjtpenseliDlOther Number is necessary only if a Homestead Deduction is being flied.)
Signa re o r 1 _ `C ! K C
Signature of Buyer 2/Spouse
Printed Ldvgzff Name of Buyer 1 Sign Date (MMIDD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Ralph Jack Michael Schleter
Last 5 Digits of Buyer 1 SSN/Driver's License/►D/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Drivers License/ID/Other Number
15 � c d,
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