HomeMy WebLinkAboutHomestead_Marshall (2)H.PREPARER
Preparer of the Sales Disclosure Form {
Title
Wilchela Connolly Dircks
Settlement A ent
Company
Email Address
Telephone Number
Re Tonal 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) i
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document f
Travis A. Kiesel, Trustee of the Kiesel Income Only Trust dated January 3
Address (number and street)
Address (number and street)
10122 S Quail Crossing
City, State, and ZIP Code
City, State, and ZIP Code 9
Haubstadt, IN 47639
Country
i Country f
US
Email Address
Telephone Number
Email Address Telephone Number
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
`�', !j'
i✓', M� e
j Printed Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller j Date Signed (mm/dd/yyyy)
Travis A. Kiesel, Trustee 08/26/2026 I 08/26/2026_
I BUYERS)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDE YT=TTVTA
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears o o u
Jocel n A. Marshall
Address (number and street)
Address (number and street) AUG
668 East 1025 South
3 i
UU 120
City, State, and ZIP Code
City, State, and ZIP Code
Haubstadt, IN 47639
Country
Country
GIBBONCOUNTY
Co
ALM
Email Address
Telephone Number
Email Address
1
Telephone Number
joce4704@gmail.com
( 812 ) 774-2354
1
( )
Pursuant to IC 6-1.142-44, the Sales Disclosure Forth 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 i
® O residence?
p ® 4. Solar Energy Heating or Cooling System
O ® 5. Wind Power Device
2. Does the buyer have a homestead to be vacated
®
for this residence? If yes, provide address:
p ® 6. Hydroelectric Power Device
Q ® 7. Geothermal Energy Heating or Cooling Device
l� Il LJ _ 19 _ lr�,,' _ jl_J�-J��J�, LI'� _ O1R�
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 properly, or orpits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
inform tfon, SSN/Driver's iC se/fD/Other Number is necessary only if a Homestead Deduction is being flied.)
Sign re of Buy
Signature of Buyer 2/Spouse
ted Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) j
7Pr
celyn A. Marshall 8/26/2026
08/26/2026 j
Last 5 Digits off B7uyer f SSN/ rivers License/10I0ther Number
iM
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
Page 3
H.PREPARER
Preparer of the Sales Disclosure Form
Title
Wilchela Connolly Dircks
Settlement Agent
Company
Email Address
Telephone Number
Re Tonal 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, Evansvlile, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Travis A. Kiesel, Trustee of the Kiesel Income Only Trust dated January 3
Address (number and street)
Address (number and street)
10122 S Quail Crossing
City, State, and ZIP Code
City, State, and ZIP Code
Haubstadt, IN 47639
I
Country
Country
us
Email Address
Telephone Number
Email Address
Telephone Number
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.
nature of Seller
G1. ram„- d , 7 to P
Signature of Seller
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Printed Name of Seller I Date Signed (mm/dd/yyyy)
Travis A. Kiesel, Trustee
08/26/2026
08/26/2026
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
Jocel n A. Marshall
Address (number and street)
Address (number and street)
668 East 1025 South
City, State, and ZIP Code
City, State, and ZIP Code
Haubstadt, IN 47639
Country
Country
us
Email Address
Telephone Number
Email Address
Telephone Number
joce4704@gmail.com
( 812 ) 774-2354
( )
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
® O 1. Will this property be the buyer's primary
® O 3. Homestead
residence?
Q ® 4. Solar Energy Heating or Cooling System
O ® S. Wind Power Device
D ® 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)
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 LicenseliD/Other Number is necessary only if a Homestead Deduction is being filed.}
Signature of Buyer 1 ''
Signature of Buyer 2/9pouse
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Jocelyn A. Marshall 8/26/2026
08/26/2026 j
Last 5 Digits of Buyer 1 SSN/Drivers License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Drivers License/ID/Other Number I
Page 3