HomeMy WebLinkAboutHomestead_GrimmH.PREPARER
Preparer of the Sales Disclosure Form
Title
Chelsea E. Morell
Closing Agent
Company
E-mail Address
Telephone Number
Columbia Title, Inc
chelsea.morel] @columbiatitlegl2
(812) 471-8563 ext. 403
Address (number and street, city, state, country, and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
eHandy LLC
Address (number and street)
Address (number and street)
PO Box 2140
City, State, and ZIP Code
City, State, and ZIP Code
Evansville, IN 47728
Country
Country
USA
_
E-mail Address
Telephone Number
E-mail Address T
lephone Number
ecribsl1@gmaii.com
(812) 297-0532
Under penalties of perjury, l 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 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.
Signature of dl
Signature of Seller
err
Printed Narfie bf
Date Signed (mm/dd/yyyy)
Printed Name of Seller
Date Signed (mm/dd/yyyy)
SeK�er
Marcus L. Johnsember
April 15, 2026
April 15, 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
Shelly L. Grimm
FILED
Address (number and street)
Address (number and street)
505 North Church St
Apr 15 2026
City, State, and ZIP Code k—
��-�
City, State, and ZIP Code a,
A
Evansville, IUA.Z 4,5—
dl�a
Country
Country GIBSON COUNTY AUDITOR AC
USA
E-mail Address
Telephone Number
E-mail Address
Telephone Number
pgarrett@superiorag.com
812 664-3209
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
❑X ❑ 3. Homestead
p F] 1. Will thisproperty be the buyer's primary
residence.
0 4. Solar Energy Heating or Cooling System
❑ Mx 5. Wind Power Device
DI 2. Does the buyer have a homestead to be vacated
Q
t 1 for this residence? If yes, provide address:
F1 0 6. Hydroelectric Power Device
❑ M 7. Geothermal Energy Heating or Cooling Device
26-18-13-402-000.936-026
Address (number and street)
City, State, ZIP code, and 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
information, SSN/Driver's License/ID/Other Number is necessary only if a Homestead Deduction is being filed.)
j5jgaoture of Buyer 1
Signature of Buyer 2/Spouse
Printe Legal Name o yer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Shelly L, Grimm April 15, 2026
April 15, 2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
SSN: 2-5740
Page 3