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HomeMy WebLinkAboutHomestead_WrightH. 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 1. SELLER(S)/GRANTOR(S) Seller 1 — Name as it appears on conveyance document Seller 2 —Name as it appears on conveyan a do --' Brett A. Seibert Lacy-H. Seibert Address (number and street) Address (number and street) 373 E Hirsch Woods Lane 373 E Hirsch Woods Lane JUN 3I,O 2026 City, State and ZIP Code City, State and ZIP Code I Haubstadt, IN 47639 Haubstadt, IN 47639 Country Country United States of America United States of America GIBBON COUNTY AUDITOR Email Address Telephone Number Email Address Teleptone Number brett@12-auto.com (812) 449-2707 brett@12-auto.com (812);449-2707 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. nat re of Seller of Seller Printed Name of Se er Date Signed (mm/dd/yyyy) Printed Name of SO ler Date Signed (mm/dd/yyyy) Brett A. Seibert 6/26/2026 Lacy H. Seibert 6/26/2026 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 Brandon Scott Wright Natalie Michele Wright Address (number and street) Address (number and street) 312 N Vine St 312 N Vine St City, State and ZIP Code City, State and ZIP Code Haubstadt, IN 47639 Haubstadt, IN 47639 Country Country United States of America United States of America Email Address Telephone Number Email Address Telephone Number (812) 664-3355 (812) 664-7273 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 l,V ❑ 1. Will this property be the buyer's primary residence? p' ❑ 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: ❑ 0 5. Wind Power Device ❑ © 6. Hydroelectric Power Device Address (number and street) ❑ 0 7. Geothermal Energy Heating or Cooling'IDevice r1) _-a�_09_a(_, 0 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,JSSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.) n ture f Buyer 1 -p Si nat e of Buyer / pouse t (tl W . Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spo a Sign Date (MM/DD/YY) Brandon Scott Wright 6/26/2026 Natalie Michele Wright 6/26/2026 Las Digits of Buyer 1 SSN/Driver's License/ID/Oth r Number Last 5 Digits of Buyer /S ouse SSN/Driver's License/ID/Other 'O umber ss Page 3