HomeMy WebLinkAboutHomestead_TrotzkeTitle
Escrow Officer
Company
Southwestern Indiana Land Title E-mail address
matt@swinland.com
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 CGI I C[31011^n w
---• •..�.....�•.. vey.�/
Seller 1 - Name as it appears on conveyance document
Cynthia L. Beard, by Susan G. Baker, her attorney -in -fact
Address (number and street)
6728 N State Rd 65
City, State and ZIP Code
Hazleton, IN 47640
Country
United States of America
Email Address
Telephone number
(812) 425-0055
Seller 2 - Name as it appears on conveyance document
rmuuress (number and street)
City, State and ZIP C
Country
Telephone Number JEmail Address
Ala-1��I41
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledl
by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intenti
omits or falsifies any information required to be provided, commits a Level 5 felony.
Printed Name of Seller vV � � - � � ��Vw� L
Cynthia L. Beard, by Susan G. Baker, her yDy) ate Signed
attorney -in -fact 5/19/2026
Signature of Seller
F
Name of
Telephone Number
/rrect, and complete as required
l f,�qnsferred real property, or
AUDITnR
Date Signed (mm/dd/yyyy)
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
Benjamin R. Trotzke
Address (number and street) Ainsli B. Trotzke
1311 Ritterskamp Ave
Address (number and street)
1311 Ritterskamp Ave
City, State and ZIP Code Vincennes, IN 47591 City, State and ZIP Code
Country
United States of America
Email Address
Preparer of the Sales Disclosure Form
Matthew Jarvis
Vincennes, IN 47591
Country
United States of America
Email Address Telephone Number
rursuant to IQ 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that a81 I) 841-2795
YES NO CONDITION pp y'
lZ ❑ 1. Will this property be the buyer's primary residence?
❑ 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
Add
, State, and ZIP Code
Telephone Number
(812) 841-2795
County
YES
NO
CONDITION
Q
❑
3. Homestead
❑
❑
Q
0
4. Solar Energy Heating or Cooling System
5. Wind Power Device
❑
0
6. Hydroelectric Power Device
❑
0
7. Geothermal Energy Heating or Cooling Device
Llroll9erw�► W-" -�9-G�o-G`Ce- OCR-cC�, ICo -ol
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 information required to be provided, commits a Level 5 felon
License/lD/Other Numb n cessary if a Homestead Deduction is being filed.) Y• (Note: Both spouse's information, S5N/Driver's
Signature o r
iSigoature of Buver 2/Snnl Isa
3rinted Legal Name(
3enjamin R. Trotzke
Sign Date (MM/DD/YY)
5/19/2026
_ast 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
3SN: 9 76 R-O T4-0i.: R'y'141
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Ainsli B. Trotzke 5/19/2026
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
SSN: q 4 J
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