HomeMy WebLinkAboutHomestead_LashbrookH.PREPARER
Preparer of the Sales Disclosure Form Title
Company- - Email Address Telephone Number
— I ( 812 ) 759-5555
Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S) _
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears o co v a e d c m t
The Estate of Virginia A. Gibson aka Virginia Ann Gibson, deceased;:
Address (number and street) j Address (number and street)
201 S Broadview Circle OCT0-22C
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 u8untry Country A'rX Ld a. P"
EmailrAddre?ss Telephone Number Email Address rNI 6TQl%ber
Und penalties of perjury, I h6aby cefnihis 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,, ellerA / _ , 1 j Signature of Seller
Printe me of Seller
j Date SigAd (mm/dd/yyyy)
Printed Name of Seller Date Signed (mm/dd/yyyy) i
Terry Jon Gibson, Personal Representau
10/02/2026
10/02/2026
j
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
Leslie Ann Lashbrook
Tommy Logan Lashbrook
Address (number and street)
Address (number and street)
200 S Collins
200 S Collins
City, State, and ZIP Code
City, State, and ZIP Code
Jasper, IN 47549
Jasper, IN 47549
Country
Country
us
u5
Email Address Telephone Number
Email Address i Telephone Number
V9rhnrlP--gHPRwihnn. norn ( 812 ) 779-7350
1 tommvlashbrookaamail,com ( 812 ) 215-0108
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
® O 1. Will this property be the buyers primary
® O 3. Homestead
residence?
❑ IN 4. Solar Energy Heating or Cooling System
O ® 5. Wind Power Device
O ® 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
❑ ® 6. Hydroelectric Power Device
❑ ® 7. Geothermal Energy Heating Device
Address (number and street)
P,ojr�Cooling
City, Slate, 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
N/D iv s LicensellD/Other Number is necessary only ifa Homestead Deduction is being Med.)
4150irtk"Cin
er 1
Si ature of uyer 215
u Ia
rinted Legal am Buyer 1 Sign Date M DD/YY)
Printe egal ame of Buyer 2/Spouse Sign Date (MM/DD/YY)
Leslie Ann Lashbrook 10/2/2026
y an Lashbrook 10/02/2026
Tommy Logan
g
Last 5 Digits of Buyer S /Driver Lic e/ID10ther Number
I Last 5 Digits of Buyer 2/S ouse SS /Driv ' tcenselID10ther Number `r
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