HomeMy WebLinkAboutHomestead_Webb (3)H. PREPARER
Preparer of the Sales Disclosure Form
Title
Stacey Salzman
Settlement A ent
Company
Email Address
Telephone Number
First Advanta a Title Services LLC
closingdpet@fa-title.com
( 812 ) 490-8485
Address (number and street, city, state, country, and ZIP Code)
2301 N. Burkhardt Road, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
---•-• -•••� .. uN, �,� . u w wcyou�c uucunron� seuer z - Name as appears on conveyance document
Daniel Hall Kayla Hall Ju
Address (number and street) Address (number and street)
9460 W State Rd. 165 9460 W State Rd. 165
City, State, and ZIP Code City, State, and ZIP Code
Owensville, IN 47665 Owensville, IN 47665 GI 6;'7 s
Country Country UDITOR
US US
Email Address Telephone Number Email Address �T171e� Numberdanielha112290@gmai wm { 812 ) 664-5638 64-5638
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.
Sionatureof S91tek /, I— _t,._,.
Printed Name of Seller
Daniel Hall
Date Signed (mm/dd/yyyy) rin ed Name
07/29/2026 Kayla Hall
Date Signed
07/2912026
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 document
Lindsey M. Webb
Timothy A. Webb
Address (number and street)
Address (number and street)
6926 Indiana 165
6926 Indiana 165
City, State, and ZIP Code
City, State, and ZIP Code
Owensville, IN 47665
Owensville, IN 47665
Country
Country
us
us
Email Address
lindseymwebb@yahoo.com
eleD on y��bgr
�12-49W 714
Email Address
hoosierdboy21@yahoo.com
TeleP�hone Number
$Z.L-�80-871.4
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form maybe used to apply for certain deductions. Identify all of those that apply:
YES ND CONDITION
YES NO CONDITION
® t] 1. Will this property be the buyer's primary
® 0 3_ Homestead
residence?
p (N 4. Solar Energy Heating or Cooling System
® 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
Address (number and street)
City, State, and ZIP Code
O IN 5. Wind Power Device
O ® 6. Hydroelectric Power Device
O ® 7. Geothermal Energy Heating or Cooling Device
County '9' (P - � � - O '�) - Soo - o0o , �' c-) - 0.b<\
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, SSA/Driver's LfcensOD/Other Number is necessary only if a Homesteld Deductloilis being Fled.)
I'nnted Legal Name of Buykf 1 Sign Date (MM/DD1YY) jal Na of Buyer 2/8pouse Sign Date (MM/DD/YY)
Lindsey M. Webb 7/29/2026 Timothy A. Webb 07/29/2026
.Lest 5 Di its of Buyer 1 SSN/Driver's License/ID/Other Number st 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
85826 2�/36 85507
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