HomeMy WebLinkAboutHomestead_Johnson (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Allyn Tresenriter 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
Gloria A. Luigs
Ad ress (number an str t) Address (number and street)
ii"
411 VI e 5 0 r . -,' ",.,:e,.,.
city, state, and ZIP C e City, state, and ZIP Code
-tia)\a C .1- -it/ Li7(.0' i 9
Country Country 0
US US
knowingly and intent 110 .111es the value of transferred
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. _
S n yo a of Seller S nature of Seller • .
1��0c \-k-k b \)fiuOb.14-mot,'' N ..., - ,
firririted Name of Seiler Date signed (mm/.•a y) Printed Name of Seller i'Date signed (mmfdd/yyyy)
Gloria A. Luigs, by AIF David Luigs 10/09/2025
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY
Buyer 1 _..Name as II appears on conveyance document Buyer 2 - Name as it appears on conveyance document
Janette Johnson
Address (number and street) Address (number and street)
500 South Ninth Avenue _
City, state, and ZIP Code City, stale, and ZIP Code
Haubstadt, IN 47639
4
Country Country
US US
E-mail a r7ite,
deductions. Identify ail of those that apply:
t YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary CIO 3. Homestead
Zr O O residence? 0 J 4. Solar Energy Heating or Cooling System
0 2. Does the buyer have a homestead to be vacated 0 O 5, Wind Power Device
for this residence? If yes, provide address: p i 6. Hydroelectric Power Device
i
Q Address (number and street) 0 O 7, Geothermal Energy Heating or Cooling Device
0 coi)t � 5- ¶ A tas
-T City, star ZIP code, and county
' , CAJP5L) (44 r � '�� o�(1 " 1 ?-00 -000 . g IS-,00`1
Under penaittos of perjury, I hereby certify that this Sates Disclosure, to the best of my knowledge and belief, Is true, correct and complete
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