HomeMy WebLinkAboutHomestead_Bichler III FH. PREPARER
P reparer of the Sates Disclosure Form Title
KRIS WATSON Escrow Officer
Company
Address (number and street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)IGRANTOR(S)
Seller 1 -Name as It appears on conveyance document Seller 2 - Name es appears on conveyance document
Lane P Workman Misty D Workman
A dress (number and street) Ad Tess (number and street
, 03 7;--i2i/vr ,Rael (-.
03 7-r-c.,4-kr- 04-ii- DritX'
Cily state, and ZIP Code City late, and P Code
Fa'r-f- d !i
Country Country
US US
Under penalties of perjury, I hereby certify 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 8-1.1-5.6. A person who knowingly and Intentionally falsifies the value of transferred
real property, or omits or falsifies any Information required to be provided, co mils a Level 5 felony. ,
Sign ure of Seller 't sa ' e of Seller
Printed Name of Seiler , Date signed (mm/ddiyyyy) -Ante I Na( of Seller a signed (mmidd/yyyy)
Lane P Workman 03/25/2026 Misty D orkman 2 /20
J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY A T J
Buyer 1 - Name as it appears on conveyance document Buyer 2- Name as It appears on conveyance document
Joseph Anton Bichler III Bethany Sue Bichler APR Q 2
Address (number and street) Address (number and street) 242&
614 N Hart St 614 N Hart St G _
- City,state, and ZIP Code City, stale, and ZIP Code
pr- Princeton IN 47670 Princeton IN 47670 � � �. , AUDI ,�J
N Country Country
�vN COUNTY TOR
J US US
t E-mail address -
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary Cl 3. Homestead
O residence? 0 O 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 O 5. Wnd Power Device
� , .moo y ��
p for this residence? If yes, provide address: 0 � 6. Hydroelectric Power Device
Add ress (nu er and eet) �-- p p 7. Geothermal Energy Heating or Cooling Device
- . d-r Si , ertlnc A
City, state.ZIP code, and cquy S
N 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 flied.) - _
NSi
Page3of5
i