HomeMy WebLinkAboutHomestead_Robb H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D.Tracey Escrow Officer
Company
Address(number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 T
I. SELLER(S)/GRANTOR(S) F
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on cony enc��dd�eT }hdht����...JJJ
Gregory A. Hardt Christine L. Hardt
Address(number and street) Address(number and street) JUL 0 5 2022
209 N. Main St 209 N. Main St
City, State and ZIP Code City, State and ZIP Code //2 /...i a. J117.1.4k ""
Haubstadt, IN 47639 Haubstadt, IN 47639 Country Country
United States of America United States of America GIBBON COUNTY AUDITOR
E-mail address
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.
Sign re of Seller Sze off Seller
.34
Printed�f"ame of eller Date signed (mm/dd/yyyy) Printed Name o Seller I Date signed(mm/dd/yyyy)
Gregory A. Hardt c(D.) 7-91?-6 )., Christine L. Hardt GG /may/r.„ 2-
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
Channon Robb
Address(number and street) Address(number and street)
304 Rock Rd.
City, State and ZIP Code City, State and ZIP Code
Owensville, IN 47665
Country Country
United States of America
E-mail address
apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES O CONDITION
0 1 Will this property be the buyer's primary residence? El Homestead
0 In/4. Solar Energy Heating or Cooling System
0 2. Does the buyer have a homestead to be vacated for ❑ Q 5. .ind Power Device
this residence? If yes, provide address:
0 J� . Hydroelectric Power Device
Address(number and street) ❑ 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county
o%— let-31 -3o1 — ao0 . 003 --007
_