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HomeMy WebLinkAboutHomestead_OwensH. PREPARER Preparer of the Sales Disclosure Forth Title rwnwn i�uniian Email Address Telephone Number Company _�......,,«,......«;Fier 812 ) 461-6399 Address (number and street, city, state, country, and ZIP Code) 25 NW Riverside Drive, Suite 310, Evansville, IN 47708 1. SELLER(S)/GRANTOR(S) Seller 1 -- Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Kyle M. Neldig Erin M. Neidig Address (number and street) Address (number and street) 10725 S 525 E 10725 S 525 E City, State, and ZIP Code City, State, and ZIP Code Haubstadt, IN 47639 Haubstadt, IN 47639 Country Country us us Email Address �, Telephone Number.z Email Address Telephone Number k ve: i; 4 ; Under 0 natues` . perjury, I hereby certify this Sales Disclosure, to the best of m .knowledge and belief, is true, correct, and complete. as required by law, and Is prepared In accordance with IC 6-1.1-¢.5. A person who knowingly and Intentionally falsifies the value of transferred real property, or omits or falsifies anyJWbrmation required to be provided, commits a Level 5 felony. q�Si ?// f Signature of Seller Signature,q nk-- Printed Nate of Seiler'.-� D Sigrn�ed (mmlddlyyyy) I Printed Name of Seller uaw tylluu tm11uUwyyyyr Kyle M. Neldig r di� a. ty Erin M. Neidig J. BUYER(5)/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 or�oeirjv dont Address (number and street) Address (number and street) 2600 Rexing Rd City, State, and ZIP Code City, State, and ZIP Code SEP 2 O Q 2026 Wadesville, IN 47638 Country Country US email Address Telephone Number I Oman Huu�ern� . . "-fi LC(.(' s � mowens1313@yahoo com ( 812 ) 454-4642 GIBSON COU. -(Y AUD)Tog 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 1. Will this property be the buyer's primary IR © 3. Homestead ® 0 residence? p ® 4. Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated 0 ® 5. Wind Power Device for this residence? If yes, provide address: p ® 6. Hydroelectric Power Device Address (number and street) p ® 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 knowledgwand belle€, is. true, correct, and: complete as required by law, and is prepared in -accordance with IC 0-1:1-5.5. A person who knowingly and intentionally falsifies the value of transferred real property, or omits or falsifies.any information requlred.to be provided, commits a Level 5 felony. (Note: Both.spouse's informatfoA SSNUDrtvar's Ucens&"Other Nlumber Is hacessary only if a Hdlhgswad Deduction is being filed.) Signature of Buyer 1 I p., . , lr A ISignature of Buyer 2/Spouse y e rtpy of Buyer 1 Sigaate (MM/DDIYY) Printed Legal Name of Buyer 2/Spouse Sign Date Michael R. Owens - Last 5 Digits of Buyer 1 SSN/Drivers License/IDlOther Number Last 5 Digits of Buyer 21Spause SSN/Drivers LicenseAd/Other Number Page 3