HomeMy WebLinkAboutHomestead_Dyson H. PREPARER
Preparer of the Sales Disclosure Form Title
Leah Brown _ Settlement Agent
Company
Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Jamie D. Ames
Address (number and street) Address (number and str
PI
5180E1200S M
City, State, and ZIP Code City, State, and ZIP Code
Haubstadt, IN 47639
Country Country 2 6, -1)--
US Ev`0
the best of my knowledgo'l'• i •.= s 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 i I dip!) lsifies the value of transferred
real pro• ,rty, or omits or falsifies any information required to be provided, commits a Level 5 felony. C/Qy ,
Sig - - of Seller OA,0.‘,-6--- Signature of Seller �OF�
L � .
Pnnted I ame of Seller Date Signed (mmldd/yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy)
Jamie D. Ames 03l1612026 03/16/2026
J. BUYER(s)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 - Name as 1 appears on conveyance document Buyer 2 - Name as it appears on conveyance document
Ryan Dyson ,
Address (number and street) Address (number and street)
5909 Goebel Lane
City, State, and ZIP Code City, State, and ZIP Code
Evansville, IN 47720 ii
Country Country
US ----)I
to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
(XI D i
1. Will this property be the buyer's primary ® 0 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
1 O ® 2. Does the buyer have a homestead to be vacated 0 ( 5. Wind Power Device
for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address (number and street) 0 M 7 Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
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