HomeMy WebLinkAboutHomestead_Tackett H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state, country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Richard Thomas Jennifer Thomas
Address_(numbejand street) Address(number and treet)
GI .r �I So 9 4. 14 5I .
City,state,and ZIP Code City,state,and ZIP Code
(Ve5c3,.';ILL , -3-1, (a8d9 CYO s 54/ u i ' 1-- 6� ,39
Country Country
US US
E-mail addressA
(812) 781-0075
nal eti s o e u I herebycertifythis Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
Under pe erjury,
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 iformation required to be provided,commits a Level 5 felony.
Sio ature ofler Z S naturef Seller /
rr ��_
• 1 d'Name of Seller Date signed(mm/dd/yyyy) inted a of Seller Date signed(mm/dd/yyyy)
Richard Thomas 08/30/2023 Jennifer Thomas 08/30/2023
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY HAP
Buyer 1—Name as it a pears on conveyance document Buyer 2—Name as it appears on e n doc t
er Steven Tackett
( Address(number and street) Address(number and street)
12537 South 40 West SEP 01 2073
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt, IN 47639 �n��
Country Country M� c2 J'V &n4J
US US GIBSON COUNTY AUDITOR
to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION / NO CONDITION
1.Will this property be the buyer's primary ( --n El 3. Homestead
O O residence? O Q 4. Solar Energy Heating or Cooling Syste
2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O for this residence?If yes,provide address: O O 6. Hydroelectric Power Device
Address(number and street) O Q 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
026 —7 7- .Z 9 -/oo - Oo (rt. 5/ S _Oct/
Last 5 of SSN:
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