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HomeMy WebLinkAboutHomestead_Miller (2)H. PREPARER Preparer of the Sales Disclosure Form Title Kris Coon Escrow Officer Company E-mail Address Telephone Number Regional Land Title 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 I. SELLER(5)/GRANTOR(S) Seller 1- Name as it appears on conveyance document Pamela S. Stogsdill Seller 2 - Name as appears on conveyance document Noel H. Pottinger Address (number and greet) Address nu bendstreet City, State, and ZIP Code �-- 0 n � � ,- ) N �" 7 Sol. �` City, State, and ZIP Cc* �vvS✓ t �%-� �/467 7 zS"^ Onhv Cougt ik E-mail Address psstogsdill@yahoo.com Telephone Number (812) 622-0685 E-mail Address nppot@yahoo.com Telephone Number (812) 455-7327 Under penalties of perjury, I 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 or falsifies any information required to be provided, commits a Level 5 felony. gn lure of Seller Signature of er c q Printed Name of Seller Date Signed (mm/ddlyyyy) PrintedName of Seller Date Signed (mm/dd/yyyy) Pamela S Stogsdill May 27, 2026 Noel H Pottinger May 27, 2026 J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - I DENTIFY.Pb4 THAT APPLY Buyer 1- Name as it appears on conveyance document Buyer 2 - Name as it appears on conv y c o me Desirae Miller u a d reef l� j ' Address (number and street) '{ jt Cit , tat and Codeiy i'_0 City, State, and ZIP Code Count r� Country E-mail Address Telephone Number E-mail Address L+ ,T ne Number Y2r" IC.> otim a 1 3 - �xi OU Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those t ly: YES NO CONDITION YES NO CONDITION ❑X 3. Homestead 1. Will this property be the buyer's primary 0 ❑ residence? ❑ Q 4. Solar Energy Heating or Cooling System ❑ . Does the buyer have a homestead to be vacated ❑ 0 5. Wind Power Device for this residence? If yes, provide address: ❑ Q 6. Hydroelectric Power Device 0 7. Geothermal Energy Heating or Cooling Device ^ Y n -1$ _©�I _ Q��� ' _ aa ILO Address (number and street) City, State, ZIP code, and County Under penalties of pejury, 1 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 64.1-6.5. 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 5 felony. (Note: Both spouse's information, SSN/Driver's LicensellD/Other Number is necessary only if a Homestead Deduction is being filed.) aSigne of Buyer 1 Signature of Buyer 2/Spouse 1-" nted Legal Name of Buyer 1 Sign Date (MM/DD/YY) Desirae Miller Printed legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) May 27, 2026 May 27, 2026 Last 5 Digits of B er.1 N/Drver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSNlDriver's License/ID/Other Number Page 3