HomeMy WebLinkAboutHomestead_Goedde (2)H.PREPARER
Preparer of the Sales Disclosure Form Title
Kelly E Norton Settlement Agent
Email Address Telephone Number
Company
( 812 ) 421-4000
Bosse Ttle Com an
Address (number and street, city, state, country, and ZIP Code)
4799 Rosebud Lane, Newburgh, IN 47630
1. SELLER(S)IGRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2 = Name as appears on conveyance document
Martin A. Hasenour Patricia A. Hasenour
Address (number and street)
Address (number and street)
1140 W 1200 S
City, State, and ZIP Code
City, State, and ZIP Code
Haubstadt, IN 47639
Country
Country
us
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, commitsa Level 5 felony.
ature of S er --� Signatu ofeller \
A el
I-N!nt—ed a Seller `l , Date Signed (mm/dd/yyyy) Printed -Name of Seller Date Signed jmrx�fddlyyyy)
Martin A. Hasenour 08/07/2026 Patricia A. Hasenour in I 07J2026
I BUYER(S)IGRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY AL PP
Buyer 1 — Name as it appears on conveyance document I
i
Buyer 2 — Name as it appears on conveyance de
Thomas A. Goedde
Address (number and street)
Julie D. Goedde _
Address (number and street) SEP Q 2
211 S. 3rd Ave.
211 S. 3rd Ave.
City, State, and ZIP Code
City, State, and ZIP Code
Haubstadt, IN 47639
Haubstadt, IN 47639
Country
Country BSON COUNTY
us
us
Email Address Telephone Number Email Address Telephone Num VP
tagoedde@gmail.com ( 812 ) 483-04, jules-09@live.com ( 812 ) 483-2567
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Forth may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
O 1. Will this property be the buyer's primary
C9 O 3. Homestead
12f residence?
O ® 4. Solar Energy Heating or Cooling System
O ® 5. Wind Power Device
2. Does the buyer have a homestead to be vacated
O for this residence? If yes, provide address:
O (0 6. Hydroelectric Power Device
O (D7. Geothermal Energy Heating or Cooling Device
Address�(num and stre.;t)fd f!
_41%j
Uc z_ i
L _ Ll 00 - �� Q � I (�
i flJlJ
City, trte, and ZIP Cod � � ��i 2 County
�p�J(9-1g-3
Under penalties of perjury, I hereby certify th t 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 6-1.1Z.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/Drfver's License/ID/Other Number is necessary only ife Romestead Deduction is being riled.)
Signature of Buyer 1 Signature of Buyer/2lSpouse i
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Pdntg8 Legal Name of Buyer 2/Spouse Sign Date (MM/DD1YY)
Thomas A. Goedde 8/7/2026 Julie D. Goedde 08/07/2026
Last 5 Di i of Bu er 1 SSN/Driver's LicensefID/Other Number
1a 3 �
Last 5 Di its of B)+yer Spouse SSN/Driver's Licensefl Other Number
�
10 � r r, 5"1
Page 3
H. PREPARER
Preparer of the Sales Disclosure Form
Title
Kelly E. Norton
Settlement Agent
Company
Email Address Telephone Number
Bosse Title Company
kelly.norton@jeffbosse.com (812 ) 421-4000
Address (number and street, city, state, country, and ZIP Code)
4799 Rosebud Lane Newburgh, IN 47630
I. SELLERS)/GRANTORS)
Seiler 1- Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
Patricia A. Hasenour by Richard ®. Hasenour, Her AIF
Patricia A. Hasenour by Amy J. Macke, Her AIF
Address (number and street)
Address (number and street)
City, State, and ZIP Code
City, State, and ZIP Code
Country
Country
US
Email Address
Telephone Number
(Sta) y�� f��
Email Address
Telephone Number
a)q,63.(
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 6 felony.
Signature of Seller
Signature of Seller - ,
J
/ L r/ .; . `I k •I
Printed Nanrie of Seller
Date Sig d (mmfdd/yyyy)
Printed Name of Seller
D'atd Signed ( ddfyyyy)
Pabida A. Hasenour by orchard 0- Hasenour, AIF
5 (a
Patricia A. Haenour by Amy J. Macke, AIF
J. B UYER(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
Address (number and street)
Address (number and street)
City, State, and ZIP Code
City, State, and ZIP Code
Country
Country
us
Email Address
Telephone Number
Email Address Telephone Number
Pursuant to IC 6-1-14244, 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 ® ® 3. Homestead
® ® residence? ❑ ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated ✓ 5. Wind Power Device
® [3
for this residence? If yes, provide address: ❑ ❑ 6. Hydroelectric Power Device
Address (number and street) ❑ ❑ 7. Geothermal Energy Heating or Cooling Device
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 6-1.1-6.5. 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 6 felony. (Note., Both spouse's
information, SSNMrivers LlcensenD/Other Number is necessary only if a Homestead Deduction is being Tf/ear.)
Signature of Buyer 1
Signature of Buyer 2/Spouse
Printed Legal Name of Buyer 1 Sign Date (MWDD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MWDDIYY)
Last Digits of Buyer 1 SSN/Drivers LicensWID/Other Number
Last 5 Digits of Buyer 2/Spouse SSNIDriver's License/IDfOther Number
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