HomeMy WebLinkAboutHomestead_Seibert (13) H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbigail 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 appears on conveyance document
Melissa Feller Christopher Feller
Address (number and street) Address (number and street)
12444 S Brook Dr 12444 S Brook Dr
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639 Haubstadt, IN 47639
Country Country
United States of America United States of America
Email Address ,;
omits or falsifies any information required to be provided, commits a Level 5 felony.
fi SII " S ature S II r
Printed Name of Sel Date Signed (mm/dd/yyyy) Printed Name of Seller 7- Da gl m/dd/yyyy)
Melissa Feller 3/18/2026 Christopher Feller / 0
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 convcg?c c nt
Brett A. Seibert Lacy Seibert 7-
Address (number and street) Address (number and street) •
373 East Hirsch Woods Lane 373 East Hirsch Woods Lasl3 (2 _
City, State and ZIP Code City. State and ZIP Code FOCI
Haubstadt. IN 47639 NTyq�D/T p
Haubstadt, IN 47639 R
Country Country
brett@12-auto.com (812) 449-2707
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:
YE NO CONDITION YE, NO CONDITION
❑ 1. Will this property be the buyer's primary residence? t] O 3. Homestead
Li ❑ 2. Does the buyer have a homestead to be vacated for this ❑ 0 4. Solar Energy Heating or Cooling System
residence? Ifyes, provide address: O 5.
D 0 Wind Power Device
Address (numb and street)
QL7 C�1 6. Hydroelectric Power Device
3—! tO Sf Kt`rscnIII0 ads L�l 0❑ 7. Geothermal Energy Heating or Cooling Device
\ Cit , State. and ZIP Code qCoun N ir4c_ ,,,
taLbsfactil ( Q (41 (08 q
Cir 1 --' 1 € - 100 - 00 1 • Cf q - C '-
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'