HomeMy WebLinkAboutHomestead_PartenH.PREPARER
Preparer of the Sales Disclosure Form
Title
Stacey Salzman
Settlement Agent
Company
Email Address
Telephone Number
First Advantage Title Services LLC
ctosingdept@fa-title.com
( 812 ) 490-8485
Address (number and street, city, state, country, and ZIP Code)
2301 N" Burkhardt Road, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Southern Indiana Home Investments LLC
Address (number and street)
Address (number and street)
2416 Shannon St.
City, State, and ZIP Code
City, State, and ZIP Code
Washington, IN 47501
Country
Country
us
Email Address
1�3Ptpne ,T�'%E
ail Address
Telephone Number
I���� ( )
Under PGrAltj8S o perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, Is true, correct, and complete as
require y w, a d Is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transferred
real r , or mlts or falsifies any Information required to be provided, commits a Level 5 felony.
n r f II
Signature of Seller
v�
PPANdme, ofeller
Date Signed (mmlddiyyyy)
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Anthony Lengacher, Sole Member
04/24/2026
04/24/2026
J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY
TAX DEDUCTIONS — IDENTIFY 4ttfTVAT APPLY
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears on con! a Itnep
Ba lee Elora Parten
Address (number and street)
Address (number and street)
127 E Monroe St. Apt. B
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
CIL�` ZQ
Country
Country
US
G/8S
Email Address
Telephone Number
Email Address OV
T ne Number
bayleeparten@gmail.com
( 812 ) 686-3350
4
Pursuant to IC 6-1.1-12--44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those tha ply:
YES NO CONDITION
YES NO CONDITION
(N ❑ 1. Will this property be the buyers primary
® ❑ 3. Homestead
residence?
❑ ® 4. Solar Energy Heating or Cooling System
❑ ® 5. Wind Power Device
❑ ® 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
❑ ® 6. Hydroelectric Power Device
❑ ® 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
f'/ Lj _ 1 g _ LI � ` _ COO)�ctq — 00-1
City, State, and ZIP Code County
Under penalties of perjury, I hereby certify that this Sales Disclosure, to thee 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 ifa Homestead Deduction is being filed.)
SignaLure of Buyer 1
Signature of Buyer 2/Spouse
PrNed Le Name of Uuyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Baylee gKra Parten 4/24/2026
04/24/2026
ast 5 Digits of Buyer 1 SSN/Driver's LiWr,�e/1pl der Number
Last 5 Digits of Buyer 2/Spouse SSN/Drivers License/ID/Other Number
tf��jjUUb
Page 3