HomeMy WebLinkAboutHomestead_Hale (13) H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis 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
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it appear conveyance document
Rebecca Lynn Green
Address (number and street) Address (number and street) --41446:40
709 S. Race St.
City, State and ZIP Code City, State and ZIP Code 1114R D
Princeton, IN 47670 3 20
Country Country >,-) 26.
United States of America G/QsOlv
of my knowledge and belief, is true, correct,` fd 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.
$ignatur of S Iler / Signature of Seller
x ‘-----"Xf_.Cf---1-4 ' t(--//,--t-1,_ -, --(-(--‘..,_
Printed Name of Seller ' Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy)
Rebecca Lynn Green YYYY)
2/26/2026
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
Robin Hale Christopher Hale
Address (number and street) Address (number and street)
3667 E State Road 168
3667 E State Road 168 21" f 41,1
City, State and ZIP Code City. State and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
United States of America United States of America
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:
YES NO CONDITION YES NO CONDITION
El lO 1 . Will this property be the buyer's primary residence? E ❑ 3. Homestead
❑ 2. Does the buyer have a homestead to be vacated for ❑ WI 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: ❑ IZI 5. Wind Power Device
' ❑ El 6. Hydroelectric Power Device
Address (number and street)
❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County D41 - 12-
07 - ) , ,03 w 0 b , 1 t' — O 2Y
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 information, SSN/Driver's
License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
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