HomeMy WebLinkAboutHomestead_BighamH. PREPARER
Preparer of the Sales Disclosure Form
Title
Sandra L. Hicks
Attorney
Company
Email Address
Telephone Number
Sandra L. Hicks Law Office, LLC
sandrahickslaw2@gmail.com
(812 ) 615-5044
Address (number and street, city, state, country, and ZIP Code)
843 S. 9th Avenue, Haubstadt, IN 47639
f. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
James Paul Bigham
Suzanne S. Bigham
Address (number and street)
Address (number and street)
11740 Bohannon Drive
11740 Bohannon Drive
City, State, and ZIP Code
City, State, and ZIP Code
Evansville, IN 47725
Evansville, IN 47725
Country
Country
Vanderburgh County - USA
Vanderburgh County - USA
Email Address
Telephone Number
Email Address
Telephone Number
Under penalties of perjury,) 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 5 felony.
nature of Sell r
S' nature of Seller
�yG ul d - fi
PNhted Name of Seller
Signed (mm/dd/yyyy)
Prig d Name of Seller
Date Signed (mm/ddlyyyy)
James Paul Bigham
TDate
`� - S = cp
Su#ane S. Bigham
/
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX.DEDUCTIONS - ID 1 Y HAT APPLY
Buyer 1 - Name as it appears on conveyance document
Buyer 2 - Name as it appears on con' nce d u t
Bart Bigham
Kendra Bigham
Address (number and street)
Address (number and street)
2014S1150E
2014S1150E
City, State, and ZIP Code
Oakland City, IN 47660
City, State, and <LOS
Oakland City, IfS9�§
Country
Country OWN
Gibson County - USA
Gibson County - USA �.
Email Address
Telephone Number
Address 0
Number
Cumail
( 0 �� ) t-
rylephone
] ,�
D )
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:
YE5 NO CONDITION
YES NO CONDITION
El ❑ 1. Will this property be the buyer's primary
0 ❑ 3. Homestead
residence?
❑ 0 4. Solar Energy Heating or Cooling System
❑ 0 5. Wind Power Device
❑ ❑ 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
❑ Q 6, Hydroelectric Power Device
❑ 0 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
City, State, and ZIP Code County
Under penalties of perjury, 1 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-S.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/Driver's Lice9qeIlDlOther Number is necessary only if a Homestead Deduction is being riled.)
Sign tur of B yer `0
Signat re of Buyer 2/Spqu$e ✓�`��//ten
Printed Legal Name o yer 1 Sign Date (MM/DD/YY)
Printed Legal Name off/11• er 2/Spouse Sign'Date (MM/DDMY)
Bart Bigham
Kendra Bigham
Last 5 Do'its of Buyer 1 SSN/Driver's License/ID/Other Number
Last Digi s of Buyer 2/Spouse SSN/Drivers License/ID/Other Number
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