HomeMy WebLinkAboutHomestead_KnowlesH. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company E-mail address Telephone number
Southwestern 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. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as it appears on conveyance document
Kaleb Bolton
Graysen Bolton
Address (number and street)
Address (number and street)
622 N Gibson St.
622 N Gibson St.
City, State and ZIP Code
City, State and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country
Country
United States of America
United States of America
Email Address
Telephone Number
Email Address
Telephone Number
41�1
0
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.
ignature of Seller Sign
Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy)
Kaleb Bolton yyyy) Graysen Bolton 6/8/2026
6/8/2026
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT #PpLJ-
Buyer 1 - Name as it appears on conveyance document
Buyer 2 - Name as it app ar n onv
c ument
Tasia R. Knowles
Dustin T. Coleman
Address (number and street)
Address (number and strel A/
314 Plum St
314 Plum St.
City, State and ZIP Code
City, State and ZI ode
Mount Carmel, IL 62863
Mt. Carmel, IL I
Country
Country
United States of America
United States nf A
Email Address
Telephone Number
Email Address
-"*Telephone
Num e
(618) 240-1394
7 ,7'
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
0 ❑ 1. Will this property be the buyer's primary residence? 0 ❑ 3. Homestead
j 0 ❑ 2. Does the buyer have a homestead to be vacated for ❑ 0 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: ❑ 0 5. Wind Power Device
Address (number and street) ❑ 0 6. Hydroelectric Power Device
805 S Stormont Street ❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
" Princeton, IN 47670 Gibson LA I
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 6-1.1-5.6. 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
License/ E)lOther Number is necessary if a Homestead Deduction is being tiled.)
$ S n ure of Bu r Signature of Buyer2/Spouse
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DDNY)
Tasia R. Knowles 6/8/2026 Dustin T. Coleman 6/8/2026
,Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer-2/Spouse SSN/Driver's License/ID/Other Number
SSN: 3G7�� 5L_ "ok-5ej<' SSN: ?-) � '� I rs 13--7,qv2
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