HomeMy WebLinkAboutHomestead_Evans (3)H. PREPARER
Preporer of the Sales Disclosure Form
Title
Transaction Specialist
Kristina Watson
Email Address er
Company
Foreman Watson Land Title
=(812)
klwatson@fw-Itcom 543
Address (number and street, city, state, Gauntry, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
1. SELLER(S)IGRANTOR(S)
Seller 1— Name as it appears on conveyance document
Seller 2— Name as appea o once document
Timothy D. Thompson
Address (number and street)
Address (numb and street)
4 S t?
City, FAI9, and ZIP Code
City, Stale, and ZIP Code JUN
1� 2
W7010
Country
Country
us
Email Address Telephone Number
Email Address !/f3SO!NTelephone NumberTthompson1234@hotmail.com
0 )
( ) 812-664-1726
under penalties of perjury, I hereby certify this Sales Disclosure, to the beat of my knowledge and ballet, Is fr %mot, and complete as
knowingly and Intentionally falsifies the value of transferred
required by law, and Is prepared In accordance with IC 6-M-6.5. A person who
real property, or omits or falsifies any Information required to be provided, commits a Level 5 felony.
Si nature Sailor
Signature of Seller
nted Name of S r Date Signed (nimiddlyyyy)
Printed Name of Seller Date Signed (mrnlddlyyyy)
Timothy D. Thompson 06/05/2026
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
David B. Evans
Address (number and street)
Address (number and street)
986 West State Road 168
city, State, and ZIP Code
C
City, State, and ZIP Code
Fort Branch IN 47648
Country
Country
us
Email Address Telephone Number
Email Address Telephone Number
m7iiA( ) 812-664-9881
1{ )
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
[
0 E3 residence?
❑ ❑✓ 4. Solar Energy Healing or Cooling System
2. Does the buyer have a homestead to be vacated
a
❑ ❑ 5. Wind Power Device
® for this residence? If yes, provide address:
❑ ❑ 6. Hydroelectric Power Device
Address number and stree
❑ ❑i 7. Geothermal Energy Heating or Cooling Device
•ode
[
City, Stale, and ZIP
Li �r u �'
+h
1J
i V
Under penalties of perjury, I hereby certify that this Sales Disclosure,
with IC fi-1.1-5.6. A
to the beat of my knowledge an ellef, Is true, correct, and complete
person who knowingly and Intentionally falsifies the value of
as required by law, and Is prepared In accordance
real or omits or falsifies any Information required
to be provided, commits a Level b fatony. (Note: Both spouse's
transferred property,
information, SSN/Drivers Lfcense/ID/Orf+er Numberls necessary anfy if a Homestead Deduction is being riled.)
Signature of Buyer 2/Spouse
fN
�egalBuyer Sign Date (MWDD1YY)
�Pri
Printed Legal Name of Buyer 27Spouse Sign Date (MMIDDfYY
David B. Evans 06/0512026
Last 5 Digits of Buyer 1 SSN10nver'11 s L[censellD/Other Number
Last 5 Dfgf s of Buyer 2fSpouse Dal h1crivers LicenselID10ther Number
Last 5 of SSNA-5557
Last 5 of SSN:
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