HomeMy WebLinkAboutHomestead_RunnionH. PREPARER
Preparer of the Sales Disclosure Form
Title
Wilchela Connolly Dircks
SettlementA ent
Company
Email Address
Telephone Number
Regional Title Services LLC
closings@regionaltitlellc.com
( 812) 759-5555
Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyanc me t
Neal D. Bailey
I Leah M. Bailey
Address (number and street)
Address (number and street) AUG
AU1
f 179 E Lake Inwood Drive
179 E Lake Inwood Drive
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country
Country (�t8 SON
us
us cof
Email Address
Telephone Number
Email Address
TefeplVgftjber
kc9izi@hotmail.com
I ( 812 ) 664-9900
Imbailey2017@gmail.com
( 812 ) 568-4088
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 Sellerl Sign Lure oof� Seller
` t r
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Printed Name of Seller Date Signed (mm/dd/yyyy)
Neal D. Bailey
08/1912026
I Leah M. Bailey 08/19/2026
J. BUYER(S)/GRANTEE(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
Billy J. Runnion
Kimberly L. Runnion
Address (number and street)
Address (number and street)
409 S 6th Ave
I 409 S 6th Ave
City, State, and ZIP Code
City, State, and ZIP Code
!
Haubstadt, IN 47639
Haubstadt, IN 47639 t
Country
I Country
us
I us
Email Address
Telephone Number
Email Address
Telephone Number
bjrunnion@gmail.com
( 812 ) 457-1545
billkimr@gmail.com
( 812 ) 766-0461
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: j
YES NO CONDITION
YES NO CONDITION
® O 1. Will this property be the buyers primary
IN O 3. Homestead
residence?
O IN 4. Solar Energy Heating or Cooling System
I
O IN 5. Wind Power Device
O ® 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
p ® 6. Hydroelectric Power Device
p ® 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
i�b 1, - a - _'�Q 1 , ozo , - 01�g
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 LicensellD/Other Number is necessary only if Homestead Deduction is being tiled.)
Si at r f B er
Signature of�Buyer ^�21Spausa,�
Printed Le me of Buyer 1 Sign Date (MM/DD/YY)
Pririt4d Legal Name of ., uyer 2/Spouse Sign Date (MM/DD/YY)
Billy J. Runnion 8/19/2026
Kimberly L. Runnion 08/19/2026 I
Last 5 Digits of Buy1 SIN/Drive 's License/ID/Other Number
Last 5 Digits of Buyer 2/Sp�use t�,1r' er's License/ID/Other Number
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