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HomeMy WebLinkAboutHomestead_Ahlberg (3)H.PREPARER Preparer of the Sales Disclosure Form Title Jill Giliilan Company Email Address Telephone Number DeedPro, LLC (702 ) 736-6400 Address (number and street, city, state, country, and ZIP Code) 1349 Galleria Drive, Suite 100, Henderson, NV 89014 1. SELLERS)/GRANTOR(S) Seller 1 — Name as it appears on conveyance document Seller 2 —Name as appears on conveyance document Michael A. Ahlberg Sherri L. Ahiberg Address (number and street) Address (number and street) 118 South 3rd Avenue 102 North Church Street City, State, and ZIP Code City, State, and ZIP Code Oakland City, IN 47660 Fort Branch, IN 47648 Country Country Email Address Telephone Number Email Address Telephone Number (812 ) 304-3358 (812 ) 989-2720 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 bylaw, 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 Seller Signature of Seller Printed Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy) Michael A. Ahlberg Sherri L. Ahlberg J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDE L THAT APPLY Buyer 1 — Name as it appears on conveyance document Buyer 2 — Name as it appears on e n doc t Sherri L. Ahlberg Address (number and street) Address (number and street) 102 North Church Street City, State, and ZIP Code City, State, and ZIP Code Fort Branch IN 47648 Country Country Email Address Telephone Number Email Address GIBSON CO I) "b r (812 )989-2720 ( ) 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 © O 3. Homestead O residence? O O 4. Solar Energy Heating or Cooling System O O 5. Wind Power Device 2. Does the buyer have a homestead to be vacated O ® for this residence? If yes, provide address: O O 6. Hydroelectric Power Device O O 7. Geothermal Energy Heating or Cooling Device Address (number and street) 01i Q — n —18 - 3a3 - ()W . S 6'�I - g9-�- City, State, 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 Information, SSN/Driver's Licen a ID/Other Number is necessary only if a Homestead Deduction is being riled.) Signatur of Buyer Signature of Buyer 2/Spouse ��. Printed Legal Nam4,bMuyer 1(_)Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Sherri L. Ahlberg 09/02/2026 Last 5 Digits of Buyer 1 SSN/Driver s License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Drivers License/ID/Other Number 29106 Page 3 H.PREPARER Preparer of the Sales Disclosure Form Jill Gilillan Title Company DeedPro, LLC Email Address Telephone Number 1 (702 ) 736-6400 Address (number and street, city, state, country, and ZIP Code) 1349 Galleria Drive, Suite 100, Henderson, NV 89014 I. SELLER(S)IGRANTOR(S) Seller 1 — Name as it appears on conveyance document Michael A. Ahlberg Seller 2 — Name as appears on conveyance document Sherri L. Ahlberg Address (number and street) 118 South 3rd Avenue Address (number and street) 102 North Church Street City, State, and ZIP Code Oakland City, IN 47660 City, State, and ZIP Code Fort Branch, IN 47648 Country Country Email Address Telephone Number (812 ) 304-3358 Email Address Telephone Number (812 ) 989-2720 Under penalties of perjury, I hereby certify this Sales Disclosure, to the required by law, and is prepared in accordance with IC 6-1.1-5.5. A person real property, or omits or falsifies any information required to be provided, best of my knowledge and. belief, is true, who knowingly and intentionally falsifies commits a Level 5 felony. correct, and complete as the value of transferred 0 !TK74 Signature of Seller Printed Name of Seller Michael A. Ahlberg Date Si ne m/dd/yyyy) O� Q Printed Name of Seller Sherri L. Ahlberg Date Signed (mm/dd/yyyy) J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY Buyer 1 — Name as it appears on conveyance document Sherri L. Ahlberg Buyer 2 — Name as it appears on conveyance document Address (number and street) 102 North Church Street Address (number and street) City, State, and ZIP Code Fort Branch IN 47648 City, State, and ZIP Code Country Country Email Address Telephone Number (812 )989-2720 Email Address 1 Telephone Number 1 ( ) 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 co O 1. Will this property be the buyer's primary residence? YES NO CONDITION O O 3. Homestead O O 4. Solar Energy Heating O O 5. Wind Power Device O O 6. Hydroelectric Power O O 7. Geothermal Energy or Cooling System Device Heating or Cooling Device O O 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 Under penalties of perjury, I hereby certify that this Sales Disclosure, as required by law, and is prepared in accordance with IC 6-1.1-5.5. A transferred real property, or omits or falsifies any information required information, SSN/Driver's LicenseliD/Other Number is necessary only to the best of my knowledge and belief, person who knowingly and intentionally to be provided, commits a Level 5 felony. if a Homestead Deduction is being fried.) Is true, correct, and complete falsifies the value of (Note. Both spouse's Signature of Buyer 1 Signature of Buyer 2/Spouse Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Sherri L. Ahlberg Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Last 5 Digits of Buyer 1 SSN/Drivers Licen sell D/Other Number 29106 Last 5 Digits of Buyer 2/Spouse SSN/Drivers License/ID/Other Number H. PREPARER Preparer of the Sales Disclosure Form Title Jill Gilillan Company Email Address Telephone Number DeedPro, LLC (702 ) 736-6400 Address (number and street, city, state, country, and ZIP Code) 1349 Galieria Drive, Suite 100, Henderson, NV 89014 1. SELLER(S)f'GRANTOR(S) Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Michael A. Ahlberg Sherri L. Ahlberg Address (number and street) Address (number and street) 118 South 3rd Avenue 102 North Church Street City, State, and ZIP Code City, State, and ZIP Code Oakland City, IN 47660 Fort Branch, IN 47648 Country Country Email Address Telephone Number Email Address Telephone Number (812 ) 304-3358 (812 ) 989-2720 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-L1-5.5. A person who knowingly and intentionally falsifies the value of transferred real property, or omits or falsities any information required to be provided, comMits a Level 5 felony. Signature of Seller Sig ature of Seller "�- Printed Name of Seller Date Signed (mm/dd/yyyy) PrintetrName of Seller Date Signed (m add/yyyy) Michael A. Ahlberg Sherri L. Ahlberg g C71(� I BUYER(S)IGRANTEE(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 Sherri L. Ahlberg Address (number and street) Address (number and street) 102 North Church Street City, State, and ZIP Code City, State, and ZIP Code Fort Branch IN 47648 Country Country Email Address Telephone Number Email Address Telephone Number (812 )989-2720 ( ) Pursuant to IC 6-1.14244, 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 ® O, Ig. O 3. Homestead residence? ❑ O 4. Solar Energy Heating or Cooling System 0 0 5. Wind Power Device 0 0 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: p Q 6. Hydroelectric Power Device C) Q 7. Geothermal Energy Heating or Cooling Device Address (number and street) City, State, 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 6 felony. (Note: Both spouses information, SSMIDriver s License11010ther Number is necessary only if a Homestead Deduction is being filed.) Signature of Buyer 1 Signature of Buyer 2/Spouse Printed Legal Name of Buyer 1 Sign Date (MM/DDIYY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Sherri L. Ahlberg Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number 29106 Page 3