HomeMy WebLinkAboutHomestead_Baehl (2)H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbigail Jarvis Escrow Officer
Company E-mail address Telephone number
Southwestern Indiana Land Title abby@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
Elizabeth A. Seib Trust
Address (number and street) Address (number and street)
509 S Ninth Ave
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639
Country Country
United States of America
Email Address elephone Number Email Address
gl2-'/99 -330
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 falsifie,,T,Rny information re ired to be provided, commits a Level 5 felony.
nature o IIc�yl k S / Signature of Seller
/Printed a of Seller 1 Date Signed (mm/ddlyyyy) Printed Name of Seller JEaiWSigned (mm/dd/yyyy)
R S i 'b -rrutee 6/10/2026,
Lawrence es
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
Mary B. Baehl
and street)
City, StRo
and ZI Cod
IN �,�O(
Country
United States of America
Email Address ^epI,
Address (number and street)
City, State and ZIP Code
Country
Email Address
Telephone Number
Number
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
3. Homestead
B/ El 1. Will this property be the buyer's primary residence?
'rV(
❑
Z
4. Solar Energy Heating or Cooling System
[12. Does the buyer have a homestead to be vacated for this
❑
0
5. Wind Power Device
residence? If yes, provide address:
❑
0
6. Hydroelectric Power Device
Addre s (nu er d street)
,„ I , , /n , /-% CI-4-
❑
Z
7. Geothermal Energy Heating or Cooling Device
le
v
U C7, v v
Ci y, State, an ZIP ode , /r, out i, _ E 2 ! Z 3 _ t& , O n6 —b�g , T17.
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 filed.)
SMatof Buyer 1 /-t-� Signature of Buyer 2/Spouse
Printed Legal N e of Buyer 1 �� Sign Date'(MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Mary B. Baehl 6/10/2026
La t 5 Digl s of Buyer 1 SSN/Driver's License/ID/Other Nu ber Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Numb
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