HomeMy WebLinkAboutHomestead_Watts (2)H. PREPARER
Preparer of the Sales Disclosure Form
Title
Angela J. Moers
Escrow Officer
Company
E-mail address
Telephone'number
Southwestern Indiana Land Title
angie@swinland.com
(812) 425I,0055
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as it appears on conveyance doc�iment
Christian N. Gentry
Address (number and street)
Address (number and street)
1124 W Tulip Blossom Lane
City, State and ZIP Code
City, State and ZIP Code
Princeton, IN 47670
Country
Country
United States of America
Email Address
Telephone Number
Email Address
Telephone Number
(812) 677-2583
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 la and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transfierred
real property, or
omi r f 'ties any informa 'on required to be provided, commits a Level 5 felony.
igf a o
IIJ_JW
Signature of Seller
Pri t a
Christian .
f Se ler
entry \Ili
Date iqn (mm/ddl yy)
Printed Name of Seller
Date
Signed (mm/dd/yyyy)
J. BUYER 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 appear
SF
oFvEWanc
Christopher S. Wafts
Address (number and street)
Address (number and street)
692 S Concord Drive
City, State and ZIP Code
City, State and. ZIP Code OCT 14 2026
Evansville, IN 47670 .
Country
Country
(41
United States of America
Email Address
Telephone Number
Email Address GIBSON COUNTY
Number
(812) 632-1296
ILTOftppe
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
0 ❑ 1. Will this property be the buyer's primary residence?
0 ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling
System
❑ 0 2. Does the buyer have a homestead to be vacated for this
residence? If yes, provide address:
❑ 0 5. Wind Power Device
❑ 0 6. Hydroelectric Power Device
Address (number and street)
❑ 0 7. Geothermal Energy Heating or
�2(_ l l - I 1 10 l - Cam, o?
Cooling Device
o - 0GO
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
License/ID/Other N r is necessary if a Homestead Deduction is being filed.)
Signature of Buye 1
Signature of Buyer 2/Spouse
Printed Legal Name of Buye 1 ign Date( MID • /YY)
Printed Legal Name of Buyer 2/Spouse ign Date (MM/DD/YY)
Christopher S. Watts 10 6
Last 5 Digits of Buyer 1 SSN/Driver's License /ID/Other N ber
5'w.' s -Y6 ITV- dL . 16,g ®
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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