HomeMy WebLinkAboutHomestead_LanierH. PREPARER
Preparer of the Sales Disclosure Form
Title
I I Abbey Moore
Closing Agent
Company
E-mail Address
Telephone Number
Columbia Title, Inc
abbey@columbiatitlegroup.com
(812) 471-8563 ext. 400
Address (number and street, city, state, country, and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
Kellie Kayser
I
Address (number and street)
Address (number and street)
3660 Helen Street
City, State and ZIP Code
City, Stale, and ZIP Code
Lewiston, MI 49756
Country
Country
USA
E-mail Address
Telephone Number
E-mail Address
Telephone Number
kels0004@yahoo.com
(989) 390-5028
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 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.
§ignat of Seller
- ..,. —.._ �_�
tinted Name of S er Date Signed (mm/dcf/yyyyJ
Signature of Seller
Printed Name of Seller Date Signed (mm/dd/yyyy)
Kellie Kayser 04/10/2026
04/10/2026
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
Michele Lanier
Address (number and street)
Address (number and street)
326 W Vine Street
City, State, and ZIP Code
City State, and ZIP Code
Oakland City, IN 47660
Country
Country
USA
E mail Address
Telephone Number
E-mail Address
mlcheleylanier@icloud.com
(812) 549-4471
ILTTelepho_neNumber
Pursuant to IC 6.1.1-12-44, the Sales Disclosure Form maybe used apply for certain deductions Identify all of those that apply:
.mm..
YES NO CONDITION YES NO CONDITION
Q El1. Will this property be the buyer's primary ® ❑ 3. Homestead
residence? ❑ FX� 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ❑ ❑X 5. Wind Power Device
for ibis. residence? If yes, provide address: ❑ Q 6. Hydroelectric Power Device
N._p.
Address (number and street)vm
❑ ❑X 7. Geothermal Energy Heating or Cooling Device
City, State ZIP code, and County 26-14-18-104-000.001-007
..Under of penaltiesperjury,
p 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
'nformation, SSN/Driver's License/ID/Other Number is necessary only if a Homestead Deduction is being filed.)
5' e'of Buyer
Signature of Buyer 2/Spouse
frj7'pjt
L rf'Cegg ` fj
X !
Printed eg Name of uyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Michele Lanier 04/10/2026
04/10/2026
Last 5 Digits of Buyer 1 SSN/Driver's License(ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/D v s is s, t r um r
SS 85991
Page 3
APR 14 2026
`X-I& a. PLC
`� GIBSON COUNTY AUDITOR