Loading...
HomeMy WebLinkAboutHomestead_Goebel (2)H.PREPARER Preparer of the Sales Disclosure Form Title M[Atm UAVirmUL6 ie me n A ole^A- Company I Email Address Telephone Number First Advantage Title Services LLC r1 66CA gof Address (number and street, city, state, country, and ZIP Code) 2301 N. Burkhardt Road, Evansville, IN 47715 I. SELLERS)/GRANTOR(S) Seller 1 — Name as it appears on conveyance document Seller 2 — Name as appears on conveyance document Bobby R. Livermore Neena F. Livermore Address (number and street) '7as- Address (number and street) City, State, and ZIP Code SiJy, State. andZIP Code � � � ` jam t Country us US —[ ddress Telephone Number Email Address Telephone Number Under penalties;bf 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 N Si nat of Seller It �r�e - ��'/ P% Printed ame of Seller Date Signed (mmidd/yyyy) Prin ed ame of Seller Date Signed (mm/dd/yyyy) Bobby R. Livermore 08/20/2026 Neena,F. Livermore 08/20/2026 I BUYERS)/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 con a document Adam L. Goebel Address (number and street) Address (number and street) 5 g� stiv; ,y C i 1ebr City, State, and ZIP Code City, State, and ZIP Code Prt e+o , ��Q A-1 6 -10 AU Country Country 6 US Email Address Telephone Number Email Address Telep one Number agoebe11015@gmail.com ( 812 ) 480-5149 GiBSQN Pursuantto IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all o o�1` fy: YES NO CONDITION IFS NO CONDITION17 0 1. Will this property be the buyer's primary �T`al ❑ 3. Homestead !"l residence? ❑ ® 4. Solar Energy Heating or Cooling System ❑ (9 5. Wind Power Device ❑ ® 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device ❑ ® 7. Geothermal Energy Heating or Cooling Device �l/ _ _ t _ ©c) L19 _ 0-9t6 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/�'Driiv�e�r's LicensellD/Other Number is necessary only if a Homestead Deduction is being filed.) Signat a of ¢u er 1 " Signature of Buyer 2/Spouse Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MMlDD/YY) Adam L. Goebel 8/20/2026 08/20/2026 Last 55 Digits of Bu r 1 SSN/Drivers License/ID//Other Number Last 5 Digits of Buyer 2/Spouse SSN/Drivers License/ID/Other Number "1�OX2V %M a-cZa-kS7 Page 3