HomeMy WebLinkAboutHomestead_Moll H. PREPARER — — - - - i�
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address (number and street, city, state. country. and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seiler 2 - Name as appears on conveyance document
Dicky R. Smith Linda R. Smith
Address (number and street) Address (number and street)
9750 South Aqua Lane 9750 South Aqua Lane
City, State, and ZIP Code City, State, and ZIP Code
Huntingburg, IN 47542 Huntingburg, IN 47542
Country Country
~E-mail Address mail Address
requir d by law, and is prepared in accord ee tth IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transferred
real p operty, or omits dr falsifies a9y in a on recyd red to be provided, commits a Level 5 felony.
Signal .e o`Seller / Sig4tJlL
ef Seller
4,C, ._ —.-4-,- it /-) ` ' n ' t
--2 -
Printed Name of Selle Date Signed (mmldd/yyyy) Prime of Seller ' Date Signed (mm/dd/yyyy)
Dicky R Smith March 13, 2026 Linda R. Smith March 13, 2026
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY 1
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears n •y.T ce di u
Jacob John Moll
Address (number and street) Address (number and street)
205 S U.S. Highway 41
City, State, and ZIP Code City. State, and ZIP Code MAR 2 5 2026
Fort Branch, IN 47648
Country Country
E-mail Address
GIBSON COU'VTY AUDITOR
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
1. Will this properly be the buyer's primary E-] 3. Homestead
1;53c ❑ residence? ' ❑ W 4. Solar Energy Heating or Cooling System
❑ L2. Does the buyer have a homestead to be vacated ❑ V 5. Wind Power Device
for this residence'? If yes, provide address: 1 ii 6. Hydroelectric Power Device
Address (number and street) 0 Us. 7. Geothermal Energy Heating or Cooling Device
City, State. ZIP code, and County _ t Y <(3(4 _p 9 0 ' -3 0 -o .2 /
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete 1
Page 3