HomeMy WebLinkAboutHomestead_HuttonH. PREPARER
Preparer of the Sales Disclosure Form
Title
William Bender
Attorney
Company
Email Address
Telephone Number
1(812)
Bender Law LLC
will!am@benderlaw.biz
874-3636
Address (number and street, city, state, country, and ZIP Code)
17 W. Main St, Poseyville, IN 47633
I. SELLER(S)IGR4NTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 -Name as appears on conveyance document
Rodney S. Lasley, Co-E Connie A. Lasley EST
Kimberley D. Hutton. Co-E Connie S. Lasley EST
Address (number and street)
Address (number and street)
597 S Country Lane
6391 W Old Princeton Rd
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Owensville, IN 47665
Country
Country
Email Address
Telephone Number
Email Address
Telephone Number
(812 ) 664-0475
(812 ) 582-6225
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 an Information required to be provided, commits a Level 5 felony. y
Signatur of Sell
i nature of er
�
II
Printed Name of Qulle,
Date Signed (mmlddlyyyy)
Printed Name 5611e
Date Signed (mm/dd/yyyy)
Rodney S. Lasley, Co-E Connie A. Las
04/16/2026
Kimberley D. Hutton. Co-E Connie S. L
04/16/2026
J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTV4.LL THAT APPLY
Buyer 1 - Name as it appears on conveyance document
Buyer 2 - Name as it appears on cf-*yf c docu
Kimberly D. Hutton
Address (number and street)
Address (number and street)
6391 W. Old Princeton Rd
City, State, and ZIP Code
City, State, and ZIP Code 2 2 9026
Owensville, [N 47665
C
Country
Country
Email Address
Telephone Number
Email Address N COON
e N mber
(812) 582-6225
(gUd17'
Pursuant to IC 5-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
1. Will this property be the buyer's primary
✓❑ ❑
I] ❑ 3. Homestead
residence?
❑ ❑✓ 4. Solar Energy Heating or Cooling System
❑ 5. Wnd Power Device
2. Does the buyer have a homestead to be vacated
❑ for this residence? If yes, provide address:
❑ 6. Hydroelectric Power Device
❑ 0 7. Geothermal Energy Heating or Cooling Device
26-18-06-300-001.341-021
Address (number and street)
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
information, SSN/driver's LicensellD/Other Number is necessary if a Homestead Deduction is being filed.)
Si nature of Suye 1
Signature of Buyer 2/Spouse
Prin ed Legal Name of Buyer Sign Date (MM/DDNY)
Printed Legal Name of Buyer 2JSpouse Sign Date (MM/DD/YY)
Kimberly D. Hutton 04/16/2026
Last 5 Di ' of Buyer 1 SS NI rivers License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Drlvees License/ID/Other Number
C
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