HomeMy WebLinkAboutHomestead_MontgomeryH. 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 1(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. 5ELLER(5)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as it appears on conv nc d
Gregary Richard
Shanny Richard
Address (number and street)
Address (number and street)
11333 S Brookview Ct
11333 S Brookview Ct
AUG 2 1 2026
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
GIBBON COUNTY AUDITOR
Email Address
T lephone Number
Email Address
lephone Number
N M Dd,15�
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unuer penames or perjury, i nereby certity 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,____��
of
Printed Name of ell r l/ Date Signed (mm/dd/yyyy) rint Name of Seller Date Signed (mm/dd/yyyy)
Gregary Richard 8/20/2026 Shanny Richard 8/20/2026
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
Ryan Montgomery Carrie Montgomery
Address (number and street) Address (number and street)
2881 Courtz Ct. 2881 Courtz Ct.
City, State and ZIP Code City, State and ZIP Code
Newburgh, IN 47630 Newburgh, IN 47630
Country
Country
United States of America United States of America
Email Address Telephone Number Email Address Telephone Number
(812) 322-4866 (812) 322-4866
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
/ ❑ 1. Will this property be the buyer's primary residence?
IJ/ ❑ 2. Does the buyer have a homestead to be vacated for this
residence? If yes, provide address:
YES, NO CONDITION
rb/_ ❑ 3. Homestead
❑ 2 4. Solar Energy Heating or Cooling System
❑ Z S. Wind Power Device
❑ 0 6. Hydroelectric Power Device
❑ 10 7. Geothermal Energy Heating or Cooling Device
Li 't e, any ZIP Code unty "
6, 1 . r,4 % , — _-V_ _-3 - 11 , - -) ^
Under penalties of perjullry, 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 filed.)
Print Legal Name of Buyer Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Si Date (MM/DD/Y
Ryan Montgomery 8/20/2026 Carrie Montgomery 8/20/2026
Last 5 Digits of Buyer 1 SSN/Driver's License /Ot r Number Last 5 Digits of Buyer 2/Spo se SSN/Driv is License/ID/O her N/um�be
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