HomeMy WebLinkAboutHomestead_PickettH. 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. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as it appears on conveyance document
Dustin T. Coleman
Address (number and street)
Address (number a t)
805 S Stormont St
City, State and ZIP Code
City, State and ZIP Cod .
Princeton, IN 47670
Country
Country JUN
United States of America
Email Address telephone Number
Email Addr,
Telephone Number
6v. Ws; � ra 575 i5 `
U/8
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge a $$��,, correct, and complete as required
A knowingly and intentionally falsifieslt - 'of transferred real property, or
by law, and is prepared in accordance with IC 6-1.1-5.5. person who
omits or falsifies any information required to be provided, commits a Level 5 felony. or,
S ture of Seller
Signature of Seller
Printed Name o Seller
Date Signed (mm/dd/
Printed Name of Seller Date Signed (mm/dd/yyyy)
Dustin T. Coleman
yyyy)
6/8/2026
J. BUYER(S)IGRANTEE(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
Crystal G. Pickett
Address (number and street)
Address (number and street)
510 S Clay St.
City, State and ZIP Code
City, State and ZIP Code
Oakland City, IN 47660
Country
Country
United States of America
Email Address
Telephone Number
Email Address
Telephone Number
(812) 664-5187
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
lJ ❑ 1. Will this property be the buyer's primary residence?
0 ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑ 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ ✓❑ 5. Wind Power Device
❑ 0 6. Hydroelectric Power Device
Address (number and street)
❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
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 any information required to be provided, commits a Level 5 felony. (Note: Both spouse's information, SSN/Driver's
License/ID/Other Number is necessary if a Homestead Deduction is being fled.)
Si nature of Buy 1
t" r i
Signature of Buyer 2/Spouse
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Crystal G. Pickett 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 Numbe
SSN: �,Vr04, xv ®L,' -7%73_
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