HomeMy WebLinkAboutHomestead_Henry (2)EIR
H. PREPARER
Preparer of the Sales Disclosure Form
Title
Kris L Coon
Escrow Officer
Company
E-mall Address
Telephone Number
Regional Land Title Company
Kris@regional-It.com
(812) 470-1300
Address (number and street, city, state, country, and ZIP Code)
4600 Washington Avenue, Suite 102, Evansville, IN 47714
1. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Beachfront Properties LLC
Beachfront Properties LLC
Address (number and street)
Address (number and street)
1351 Dunlap Drive
1351 Dunlap Drive
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country
Country
United States of America
United States of America
E-mail Address
Telephone Number
E-mail Address
T I p one N e8
schaferhr@gmail.com
(812) 598-5252
schaferhr@gmaii.com
Under penalties of perjury, 1 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 orfalsifies any information required to be provided, commits a Level 5 felony.
i nature of S ler
Sig ature of Seller
Printed Name of Selle
Date Signed (mm/dd/yyyy)
Printed Name of Seller
Date Signed (mmtddlyyyy)
Hannah Schaefer, Member
4/16/2026
Lisa Schaefer, Member
4/16/2026
J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY APPLY
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears on cony o men
Becky Henry
"'er treet)
Address (number and street) -4-01117
V1
te, and ZI Code ^ -
City, State, and ZIP Code 0 ry026
C
Country
Country
G
E-mail Address
Telephone Number
E-mail Address IV CO
mb r
randbhenry@frontier.com
LI -7.9,576
1
AUDIT
Pursuant to IC 6-1.1.12.44, the Sates Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES >0 CONDITION
[ge' Q 3. Homestead
1. WIII this property be the buyer's primary
❑
residence?
❑ 0 4. Solar Energy Heating or Cooling System
❑ X❑ S. Wind Power Device
2. Does the buyer have a homestead to be vacated
❑ for this residence? if yes, provide address:
❑ 0 6. Hydroelectric Power Device
[] 0 7. Geothermal Energy Heating or Cooling Device
26-12-07-201-001.175-028
ess ( Obi a treet)
ity, at P code, Co nt
t
Under penalties 4f p rjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete
as required by la nd 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/ether Numberis necessary only if a Homestead Deduction is being filed.)
S ature f Buyer 1
Signature of Buyer 2tSpouse
Printed Legagame of Buye
Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign dale (MM/DD/YY)
-Becky Henry
4/16/2026
4/16/2026
Last 5 Digits of Buyer SSN/Drivers License/I D10ther Number
Last 5 Digits of Buyer 2/3pouse SSN/Driver's LicensetlDlOther Number
SSN:
u
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