HomeMy WebLinkAboutHomestead_DockeryH. 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
Christopher B. Steiner
Robin K. Steiner
Address (number and street)
Address (number and street)
8229 S 950 W
8229 S 950 W
City, State and ZIP Code
City, State and ZIP Code
Owensville, IN 47665
Owensville, IN 47665
Country
Country
United States of America
United States of America
Email Address
Telephone Number
Email Address ]tTeleQhone
Number
12- 67`7 6. L
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 6-1.1-6.5. A person who knowingly and intentionally falsifies the value of transferred real property, or
omits or falsifies any information equired to be provided, commits a Level 5 felony.
i ture of Seller
igna IF eller_ J "
to Name of eller
Date Signed (mm/dd/
Printed ame of SellerrDate Signed (mm/dd/yyyy)
Christopher B. Steiner
yyyy)
Robin K. Steiner 16/26/2026
6/26/2026
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 appe n conveyance document
Eric V. Dockery
r r r -r' ,
Address (number and street)
Address (number and stre
111 E Water St 306
City, State and ZIP Code
City, State and ZIP Code
JUN
Mount Vernon, IN 47620
3 ® 2026
Country
Country
United States of America
EDockery0320@yahoo.com Email Address
(812) 266 Number
Email Address BSON COlJN7yAU
Number
TORephone
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 esidence?
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:
❑ 0 5. Wind Power Device
❑ 0 6. Hydroelectric Power Device
Address (number and street)
❑ 0 7. Geothermal Energy Heating or Cooling Device
0,(-o _ �-] -,W -' 1 00T 00. Col - cam\
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 tiled.)
ignature of Buy
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)
Eric V. Dockery 6/26/2026
ast 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
SN: 2 :i 5, 6 TN 0,' 06 Q66
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