HomeMy WebLinkAboutHomestead_JoinerH. PREPARER I
Preparer of the Sales Disclosure Form
Title
MattheV Jarvis I
Escrow Officer
CompaII�ny
E-mail address
Telephone number
SouthvJestern Indiana Land Title
matt@swinland.com
(812) 425'-0055
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as it appears on conveyance document
Hannalore Overton
Address (number and street)
Address (number and street)
402 N Walters St
City, State and ZIP Code
City, State and ZIP Code
Ft Branch, IN 47648
Country
Country
United States of America
Email ddress
Telephone Number
Email Address ?O
Telephone Number
1
(812) 753-3615
?�?
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledgeC 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 Qa'1�Lff valix� of transferred real property, or
Omits orfalsifies anylinformation required to be provided, commits a Level 5 felony. U/y
ignatulre of Seller I
Signature of Seller /1,04
Printed (Name of Seller
Date Signed (mm/dd/
Printed Name of Seller Date Signed (mm/dd/yyyy)
Hanna) re Overton
yyyy)
5/7/2026
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
Laurie Ann Joiner
Randall J. Joiner
Address (number and street)
Address (number and street)
1051 V1% 800 S
1051 W 800 S
City, Stste and ZIP Code
City, State and ZIP Code
Ft Branch, IN 47648
Ft Branch, IN 47648
Country,
Country
United States of America
United States of America
Email Address
Telephone Number
Email Address
Telephone Number
lanns59�i@yahoo.com
(812) 306-4711
randyjoiner06@_yahoo.com
(812) 306-8651
Pursuant
to IC 6-1.1-112-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES
�11
NO CONDITION
YES NO CONDITION
;
A Will !this property be the buyer's prima residence?
❑ 3. Homestead
❑ Z 4. Solar Energy Heating or Cooling System
❑
2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ 0 5. Wind Power Device
❑ Z 6. Hydroelectric Power Device
Address
(number and street)
❑ 0 7. Geothermal Energy Heating or Cooling Device
�c� - t $
City, St
te, and ZIP Code County
�
Under p,enaities
of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct,and complete as
requiredlby
law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the valueiof 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
Lice
ID/Other Number is nvcsssary if a Homestead Deduction is being riled.)
natures
of,.Bu er 1 i �
Sign t�e ofyer S • u
Pri ed
Legal Name of Buye 1 Sign Date (MM/DD/YY)
Printed Legal Nam f er 2/Spouse Sign Date (MM/DD/YY)
Laurie �Ilnn
Joiner 5/7/2026
Randall J. Joiner 5/7/2026
Last 5 Digits
of Buyer 1 1 SSN/Driver's License/ID/Other e
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
SSN:
1-MU
SN: ( ^ /
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