HomeMy WebLinkAboutHomestead_JaramilloC)�
H. PREPARER
Preparer of the Sales Disclosure Form Title
Allyn Tresenriter Escrow Officer
Company Email Address Telephone Number
Foreman Watson Land Title ATRESENRITER@FW-LT.COM (812 ) 909-4543
Address (number and street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
L SELLER(S)iGRANTOR(S)
Seller 1 — Name as it appears on conveyance document
ce document
Seller 2 —Name as appe7VITT
David Brian Evans
A dress (nuMber and strut
Address (number and street)
-Iqtj-
�3v
C , Stale, and ZIPwCode�
City, State, and ZIP Coda AfAI 2
I
Country
Country
USA
USA
Email Address
Telephone Number
Email Address Sp Q
N
Telephone Number
davidevans0003@tz gmail. corn
(812 ) 664-9881
Under penalties of perjury, I hereby certify this Sales Dleclosure, to the best of my knowledge and belief, Wvtw,7ttg ect; and complete as
required by law, and is prepared In accordance with IC 6-1.1-6.ti. A person who knowingly and Intentionally falsifies he value of transferred
real property, or omits or falsifies any Information required to be provided, commits a Level 6 felony.
Signature of Seller Signature of Seller
Nuvv C-�a tha 7
Printed Name of Seiler Dale Signed (mrnlddiyyyy) Printed Name of Seller Date Signed (mmIddfyyyy)
David Brian Evans 05/13/2026
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
Julia Jaramlllo Francisco Jaramllio
Address (number and street) Address (number and street)
986 West Slate Highway 168 986 West State Highway 168
City, State, end ZIP Code City, Slate, and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
USA USA
Email Address Telephone Number Email Address Telephone Number
1
Julia—mottem@yahoo.com (812 ) 550-5407 (
Pursuant.to IC 6-1.1-12-44, the Sales Disclosure Form 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
❑ ❑ 3. Homestead
® residence?
4. Solar Energy Heating or Cooling System
❑ 0 5• WInd Power Device
2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
❑ ❑i 6. Hydroelectric Power Device
❑ ❑ 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
�� `� `� —Ci cam) • �0� _
City, State, and ZIP Code County
Under penalties of.perjury, I hereby certify that this Sales Disclosure, to the beat of my knowledge and belief, Is true, correct, and complete
as required by law, and Is prepared In accordance with iC 64.1-6.61 A person who knowingly and Intentionally falsifies the value of
transferred real or omits or falsifies any Information required to be provided, commits a Level 6 felony. (!Vote. Both spouse's
property,
Number is only ifa Homestead Deduction Is befnp Mad,)
information, SSN/Drfver's License/iD/ofher necessary
Sign t re o e 1
Signature or Buyer 7J40
nted La ame of Buyer 1 Sign Date (MWC)DIYY)
Printed Legal Na of B 21Spouse Sign Date (MMiDDiYY)
05/13/2026
Julia Jaramlllo 05/13/2026
Francisco Jar6mlllo
Last 5 Digits of Buye SSWDicenseJ1010fher tlumher
Last 5 Digits of Buyer 215pa qS D, ver's Lice nsellD101har Number
SSN: fi
Last 5 of SSN: yv�F��t /�1 �(/�
Last 5 of r
Page 3