HomeMy WebLinkAboutHomestead_BiondoH.PREPARER
Preparer of the Sales Disclosure Form Title
Leah Brown Settlement Agent
Email Address Telephone Number
Company ( 812 ) 759-5555
closingsCo.regionaltitlellc.com
Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715.
I. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Kitty Powers
Benjamin Powers
Address (number and street)
Address (number and street)
9264 S State Road 57
9264 S State Road 57
City, State, and ZIP Code
City, State, and ZIP Code
Elberfeld, IN 47613
Elberfeld, IN 47613
Country
Country
us
us
Email Address
Telephone Number
Email Address
Telephone Number
kittyscott82@yahoo.com
( 812 ) 215-6836
benpowers@hotmail.com
( 812 ) 582-0833
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, rect, and complete as
in with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies a value of transferred
required bylaw, and is prepared accordance
real property, o omits or falsifies any information required to be provided, commits lony.
C rx art lrro ref Se er Y 1 , n
Signa ty)ce~g Seller
n e a e of Seller Date Signed (mm/dd/yyyy) Printed Name of Seer
Kitty Powers 08/14/2026 Benjamin Power
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDEN:
Buyer 1 — Name as it appears on conveyance document Buyer 2 — Name as it appears on
)ate Signed (m
08/14/2026
ALL THAT APPLY
Address (number and street) Address (number and street)
437 Beachfront Drive
City, State, and ZIP Code City, State, and ZIP Code AU6 2 5 2026
U
Country
Country
us
Email Address Telephone Number
Email Address GIBSON COu, ( q DhTOR ber
anthonyblondo69@gmail.com ( 949 ) 317-7365
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 YES NO CONDITION
1. Will this property be the buyer's primary ® O 3. Homestead
® O residence? O ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated O ® 5. Wind Power Device
O ® for this residence? If yes, provide address: O IN 6. Hydroelectric Power Device
Address (number and street) O ® 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County _ 1 —ck('� 3-�3 •��—d��
Under penalties of perjury, 1 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
informs n, SSN(Driver's LicensellD/tither Number Is necessary only if a Homestead Deduction is being filed.)
I Si ature� Buyer 1
Signature of Buyer 2/Spouse
` PrintdAaAame of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Anthony P. Biondo 8/14/2026
08/14/2026
Last 5 Digits of Buyer 1 SSN/Drivers Li nse11DIOther Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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