HomeMy WebLinkAboutHomestead_Smith (90) - - - - — --- ----
H. PREPARER
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Preparer of the Sales Disclosure Form Title
, Brianna Loudermilk Settlement Agent
Company
i Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd, Suite 201, Evarsville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears co ance document
Judy A. Rehlander _
Address (number and street) Address (number and street)
505 Harding Ave -t_p4)
City, State, and ZIP Code City, State, and ZIP Code SCn
Princeton, IN 47670 SE
- OS
Country Country eloa'
US _ G/a
1 Email Address
Co . ( )
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and be iti.1 correct, and complete as
I required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionall1rltEh1he value of transferred
• real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. i,
attire c` Sel,e- Signature of Seller
h
�Pr tedNa of Selier Date ned (mm/dd/yyyy) Printed Name of Seller ' Date Signed (mm/dd/yyyy)
LE Judy A. Rehlander 08/29/2025 T �08/29/2025 ^
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
Luther E. Smith
Address (number and street) Address (number and street)
801 W Elm Street Apt F
City, State, and ZIP Code City, State, and ZIP Code
Haubstadt, IN 47639
Country Country
US ___
( )
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 apply:
t YES NO CONDITION T YES NO CONDITION
1. Will this property be the buyer's primary X U 3. Homestead
Hi,X O residence? rr
0 (X 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ❑ tX 5. Wind Power Device
D X for this residence? If yes, provide address: 0 X 6. Hydroelectric Power Device
Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City. State, and ZIP Code County
b -12-- O g - Z° 3 - o00. 5ss - oz
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
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