HomeMy WebLinkAboutHomestead_McGuinnH.PREPARER
Preparer of the Sales Disclosure Form
Title
Stacev Salzman
Settlement Agent
Company .
Email Address
Telephone Number
First Advantage Title Services LLC
closingdept@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)
Seller 1 -Name as it appears on conveyance document
Seller 2- Name as appears ey nce desum t
Kyle S. Hanson
1-41
Address (number and street)
Address (number and street)
104 E Foster SL
City, State, and ZIP Code
City, State, and ZIP Code
AUG
Fort Branch, IN 47648
0 5 2026
Country
Country
US
Email Address
T one Nu
r
mil Address GIB SON COUNTY
hone Number
(
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.
S' n. t e f Seller
Signature of Seller
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Printed Name of Seller
Date Signed (mmldd/yyyy)
Kyle S. Hanson
08/05/2026
08/05/2026
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 appears on conveyance document
Kendal n N. McGuinn
Dillon P. McGuinn
Address (number and street)
Address (number and street)
210 s 1 st Ave.
210 's 1 st Ave.
City, State, and ZIP Code
City, State, and ZIP Code
Haubstadt, IN 47639
Haubstadt, IN 47639
Country
Country
us
us
Email Address
T.1l hoe � u er
Email Address
Telep one u be �51�76��1-foso
Pursuant to IC 6-1.1.12-44, the Sales Disclosure Farm 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
residence?
❑ ® 4. Solar Energy Heating or Cooling System
❑ ® S. Wind Power Device
❑ ® 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
❑ ® fi. Hydroelectric Power Device
❑ ® 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
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 only if a Homestead Deduction is
s sbeing filed.)
f Buyer 1
Sign Buffer 2/S
Iignature
C ���
Printed egal Name of Buyer 1 Sign Date (MM/DD/YY)
rinted Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Kendalyn N. McGuinn 8/5/2026
Dillon P. McGuinn 08/05/2026
ast 5 Digits of Buyer 1 SSN/Drivers License/ID/Other Number
La t 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
2 99977
9054133
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