HomeMy WebLinkAboutHomestead_LandisH. PREPARER
Preparer of the Sales Disclosure Form
Title
LaToya Woodruff
Closing Agent
—
Company _ E-mail Address Telephone Number
Columbia Title, Inc (woodruff@columbiatitlegroup.co (812) 471-8563
Address (number and street, city, state, country, and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
1. SELLER($)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
IMarlene
Seller 2 - Name as appears on conveyance document
Linda McCray
Emmons
Address _{number and streefd
Address (number and street)
/
/
State, and ZIP Code j
':l
y State, a ZIP Code
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(N'[ C, a -a- vt 1 A/ rZ 76:..� � ._ ji�
i y' (;t �l) -LAC .7
Country
Country
USA
E-mail Address
Telephone Number
E-mail Address
Telephone Number
lindalynch474@yahoo.com
1 (812) 664-1805
marlenehicks51 @gmail.com
(812) 766-9422 j
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as
in with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transferred
required by law, and is prepared accordance
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
y
Si ature or Seller
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5+g�ature aielter
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Printed Name of Seller ( / Date Signed (mm/dd/yyyy)
Printed Name of Seller Date Signed (mm/dd/yyyy)
Linda McCray v 04/14/2026
Marlene Emmons 104114/2026
J. BUYER($)/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 o document
Logan Landis
_ T71----
Address (nur3pborand street)
Address (number and street)
Clty, State, and ZIP Code
C"OUG"n f 47 G V,
City, State, and ZIP Code
j APR 17 m2g
t
Country f
Country
USA
E-mail Address Telephone Number E-mail Address Telohone Number
��cfCdb�(812) 779-4016 18sOdrudokul4@gmail.com
Pursuant to IC 64.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all o th tfr'at_ap�L
^-
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary ❑X ❑ 3. Homestead
❑ residence? ❑ Q 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ❑ 05. Wind Power Device
❑ tothis residence? If yes, provide address: ❑ Q 6. Hydroelectric Power Device
Address (number and street)T ❑ ❑X 7. Geothermal Energy Heating or Cooling Device
I
City, State, ZIP code, and County T_
26-14-19-101-000.861-007 y�
I
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/Drivers License/ID/Other Number is necessary only if a Homestead Deduction is being filed.)
Signature of Buyer 1 -
Signature of Buyer 2/Spouse
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Logan Landis 04/14/2026
04/14/2026
_
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
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