HomeMy WebLinkAboutHomestead_SchaeferH. PREPARER
Preparer of the Sales Disclosure Form Title
Claire Kincaid Settlement Agent
Company �. iacJdpe rya Telephone Number
Bosse Title company �L K ( d , l]� C • � 812 ) 421-4000
Address (number and street, city, state, country, and ZIP Code)
4799 Rosebud Lane, Newburgh, IN 47630
I. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document Seller 2 — Name as appears on conveyance document
Caleb R. Larkins Joseph Coleman
Address (number and street) Address (number and street)
9770 W. Winyard Place 9770 W. Winyard Place
City, State, and ZIP Code City, State, and ZIP Code
Owensville, IN 47665 Owensville, IN 47665
Country Country —
us us
Email Address Telephone Number Email Address Telephone Number
criarkins@yahoo.com ( 812 ) 664-7424 ( )
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
reel property, or omits or falsifies any Information required to be provided, commits a Level 5 felony. tj
name of Ile Q Signature o�Slller
i t.? 70 t o �17 jl 41 I Ili`
rt ed Name o Seller Date Signed (mm/dd/yyyy) ! Printed Name of Seller 1��� ni i d (mm/dd/yyyy) tom'
Caleb R. Larkins 09/17/2026 Joseph Coleman ��: C� l ek LA 09/17/2026
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY
Buyer 1 — Name as it appears on conveyance document I Buyer 2 —Name as it appears orsqpVaannce document
Address (number and street)
2301 Vann Ave.
City, State, and ZIP Code
Evansville, IN 47714
Country - -
us
Email Address Telephone Number
therealdavidschaefer@gmail.com ( 812 ) 499-2811
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to
YES NO CONDITION
x ❑ 1. Will this property be the buyer's primary
residence?
❑ 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
Address (number and street)
City, State, and ZIP Code County
Address (number and street)
City, State, and ZIP Code
SEP
Country
Email Address //[� a Tpfeph�umber
GIBSON COU •!�{�
ipply for certain deductions. Identify all of those pply:
YES NO CONDITION
❑ 3. Homestead
❑ ® 4. Solar Energy Heating or Cooling System
❑ ® 5. Wind Power Device
❑ ® 6. Hydroelectric Power Device
❑ ® 7. Geothermal Energy Heating or Cooling Device
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 6-1.15.5. 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
in rmatfon, SSWDriver's LicensMD/Other Number is necessary only [Fa Homestead Deduction is being Filed.)
nature of Buyer 1 Signature of Buyer 2/Spouse
tinted Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
David J. Schaefer 9/17/2026 09/1712026
5 Digits of Buyer 1 SSW/Driver's License/ID/Other N mb Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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