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HomeMy WebLinkAboutHomestead_Overton (2)I -I. PREPARER Preparer of the Sales Disclosure Form Title Company Email Address Telephone Number r.. _ .. .,-ao. 1AN6^., -+t ..,.,+41— n I ( 812 ) 461-6399 Address (number and street, city, state, country, and ZIP Code) 25 NW Riverside Drive, Suite 310, Evansville, IN 47708 I. SELLER(S)/GRANTOR(S) Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document _ Jennifer R. Wahnsiedler Megan R. Hammer Address (number and street) Address (number and street) 7921 Newburgh Road 3 W. Red Bank Road City, State, and ZIP Code City, State, and ZIP Code Evansville, IN 47715 Fort Branch, IN 47648 Country Country US US Email Address Telephone Number Email Address Telephone Number J.wahnsiedler@gmail.com ( 812 ) 499-1667 Y..it i 1 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. ..Signature of Seller ,. Signature of Seller I rented Name of Seller Date Signed (nm/dd/yyyy) Printed me of Seller Date Signed (mm/dd/yyyy) Jennifer R. Wahnsiedler 08114/2026 Megan R. Hammer 08/14/2026 J. BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY Buyer 1 -- Name as it appears on conveyance document I Buyer 2 - Name as it appears on conveyance document Address (number and street) Address (number City, State, and ZIP Code City, State, and ZIP Cod Y Haubstadt, IN 47639 Haubstadt, IN 476 Country Country US US Email Address Telephone Number Email Address P� Telephone Number bruceoverton20l3@gmail.com ( 812 ) 484-2497 Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify a f apply: YES NO CONDITION YES NO CONDITI OVt� ® O 1. Will this property be the buyer's primary ® O 3. Homes G ON G residence? p ® 4. Solar Energy Heating or Cooling System 0 2. Does the buyer have a homestead to be vacated 0 ® 5. Wind Power Device for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device ` 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 being filed) Signa Signature of Buyer 2/Spouse r� Printecr Legal Name of Buyer 1 Sign Date (MM/DD/YY) Panted Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Bruce Overton 8/14/2026 Denise N. Overton 08/14/2026 Last 5 Digits of Buyer 1 SSN/Driver s License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Drivers License/ID/Other Number &5*1 3 Page 3