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HomeMy WebLinkAboutHomestead_SuiH.PREPARER Preparer of the Sales Disclosure Form Title Bryce Courtney TiitleCompany Company Email Address TTelephone Number Re i na Title Services LLC closin s regionaltitiellc.com 812 ) 759-5555 Address (number and street, city, state, country, and ZIP Code) 7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715 1. SELLER(S)/GRANTOR(S) Seiler 1 -Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Charles M. White Address (number and street) Address (number and street) 2518 W Susan Drive VL City, State, and ZIP Code City, State, and ZIP Code h> Princeton, IN 47670 Country Country us !, �/ Email Address Telephone Number Email Address 44.4hone Number CMikeWhite@gmall.com ( 812 ) 677-0118 QA( ) Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowled e I is ue, correct, and complete as required by law, and Is prepared in accordance with IC 6-1.1-5.5. A person who knowingly if�rBC� l ya the value of transferred UN. �'' real property, or omits or falsifies an information required to be provided, commits a Level 5 felon P perty. Y q P Y• Si n lure of Sellor � Signature of Seller y `"` "• Printed Name of Seller Date Signed (mmldd/yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy) Charles M. White 05115/2D26 05/15/2026 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 Nancy Sul AddE(nu . and el) Address (number and street) ty, State, and IP Code �/ D City, State, and ZIP Code Le t Country f Country u8 Email Address Telephone Number Email Address Telephone Number ) 890-1611 1( ) Pursuant to IC 6 1.1-1 -44, the Sales Disclosure Forth may be used to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION 1. Will this property be the buyer's primary ® O 3. Homestead O residence? O ® 4. Solar Energy Heating or Cooling System O ® 5. Wind Power Device 2. Does the buyer have a homestead to be vacated O ® for this residence? If yes, provide address: O ® 6. Hydroelectric Power Device O ® 7. Geothermal Energy Heating or Cooling Device Address (number and street) �Qa- OCY-1 • % 3Ll - ©0'27 City, State, and ZIP Code County Under penalties of perjury, I hereby certify thatthis:Sales Disclosure, to the bestof my knowledge and belief, Is true, correct,.and complete as required by law, and: is prepared in accordance with IC 6-1.1.6.5. 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 6 felony, (Note. Bath spouse's information, SSAVDrfver's l.lcense/i=ther Number is necessary only Ffa Homestead Deduction Is being f/lad.) Signature off-BuyAr 1 Signature of Buyer 2/Spouse Printed gal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Nancy Sul 5/16/2026 05/15/2026 Last 5 Digits of Buyer SS 1D •ve ' �ense/IDlather Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number Page 3