HomeMy WebLinkAboutHomestead_Hamer (2)H.PREPARER
Preparer of the Sales Disclosure Form Title
Leah Brown Settlement A ent
Email Address Telephone Number
Company
closings@regionaltitlellc.com ( 812 ) 759-5555
Re ional Title Services LLC
Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715
I. SELLER(S)IGRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
Tommy L. Lashbrook
Leslie A. Lashbrook
Address (number and street)
Address (number and street)
721 S Cathy Drive
721 S Cathy Drive
City, State, and ZIP Code I
City, State, and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country I
Country
US
US
Email Address p Telephone Number
Telephone Number � Email Address P
( 812 ) 215-0108
tommylashbrook@gmail.com ( 812 ) 779-7350 jyarborieslie@yahoo.com
Under penalties of perjury, 1 hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete as
knowingly and intentionally falsifies the value of transferred
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who
real property, or omits or falsifies any mrormat' n required to be provided, ommits a Level 5 felony.
Signature of Selle Sig ture of $e
Printed Name of Seller 0111 Date Signed (mm/dd/yyyy) '` P ' ted Name of Seller Date Signed (mm/dd/yyyy)
Tommy L. Lashbrook 09/11/2026 Leslie A. Lashbrook 26
I BUYER(S)IGRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL T LY
V Buyer 1 - Name as it appears on conveyance document I
Buyer 2 -Name as it appears on conveyance docum
Aerial Hamer
Address (number and street)
Kndv Lee Hamer
Address (number and street) SEP 14 202
623 Short Street
623 Short Street
City, State, and ZIP Code
I
City, State, and ZIP Code
Oakland City, IN 47660
Oakland City, IN 47660
Count
Country
US
GIBBON Cq(
, us
Email Address I Telephone Number j Email Address Telephone Number
l 812 ) 779-7256
aerielbruce@gmail.com ( 812 ) 664-4606 j kodyhamer407.kh@gmaii.com
Pursuant to IC 6-1.1-12-4, 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
® 0 3. Homestead
® residence?
Q ® 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
Address (number and street)
�(�. _ _ -a(�a - OIZJ
City, State, and ZIP Code Count)
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete
IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of
as required by law, and is prepared In accordance with
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 License/ID/Other Number is necessary only if a Homestead Deduction is being riled.)
Sign lure of Buyer 1 n Si n I of Buyer 21Spau e
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Print Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
9111/2026
Kody Lee Hamer 09/11/2026
Aerie] Hamer
D 've
Last 5 Digits of Buyer SS 's LjcegsMD/Other Number
Last 5 Digits of Buyer 21S
use S Dr' t s LicansallQ/Other Number
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