Homestead_Shambaugh H, PREPARER _
Preparer of the Sales Disclosure Form Title
Allyn Tresenriter Escrow Officer
Company
Address (number end street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715 _
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Joshua D. Adler Shyla M. Adler
1 Address (number end street) , Add (n her e d street)
5 .
� a�a 1 �I�g� , slate, and ZIP Code
City, sl 1e, and Code 1 ,L � I ty
Country Country
US Us
required by law, and Is prepared In accordance with IC 6-1,1.6.6. 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. ,
Signature of Set r ' Sill re C Seller
Cam.._ D 40114--) 1
Printed Nam 1 Seller Date signed (mm/cidiyyyy) Printed N ie of Sell r Date signed (mrn/ddlyyyy)
Joshua D. Adler 12/17/2025 Shyla M. Adler 12 ' i -
J. BUYERS)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDE IFY L T • A'
Buyer t -Name as it appears on conveyance document Buyer 2 -- Name as it appears on conveyance document
Jonathan D. Shambaugh Tesla S. Shambaugh 1,� �*
Address (number and street) Address (number and street) U E ,7 Q 2 21 5
1412 West Chukar Hollow 1412 West Chukar Hollow
City, stale, and ZIP Code City, state, and ZIP Code
Haubstadt, IN 47639 Haubstadt, IN 47639 „, 4 ( i + r )
Country Country GIBSON COUNTY AUDITOR '
US US
1. Will this property be the buyer's primary O 0 3. Homestead
O O residence? O LJ 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ❑ D 6. Wind Power Device
O S for this residence? If yes, provide address: p El 6. Hydroelectric Power Device
Address (number and street) O O 7. Geothermal Energy Heating or Cooling Device I
1
I
City, state, ZIP code, and county A -I 'S 3 6-3o0 nD 2 , 21 b -bZ k{
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, Is true, correct and complete