HomeMy WebLinkAboutHomestead_Woods (2)LH_PREPARER_^
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Preparer of the Sales Disclosure Form
Title
Brian na Loudermilk SetOement A e t
Email Address ;Telephone Number
Company
closirlgspre4 onalHtlellc.com ( 912 ) 759-5555
Regional Title Services LLG,
Address (number and street, city, s ale. country, and ZIP Code,
7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715
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I. SEL.LER(s)IGRANTOR(Sj
T
Seller 1 -Name as it appears on conveyance document
__
Seller 2 -Name as appears on conveyance document
PPe
Taylor Median
Dalen Hale
Address (number and street) i Address (number and street)
301 Olive Drive -
301 Olive Drive
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Princeton, IN 47670 —
Country
Country
us
Email Address FTelephone Number
us
Email Address Telephone Number
TAYLORDMEDLEN2016@GMAIL.COM ) 881-6051
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete as
knowingly and Intentionally falsifies the value of transferred
required by law, and Is prepared in accordance with IC 6-1.1-5.5. A person who
real property, or omits or falsifies any information required to he provided, commits a oval 5 fat ny. �..
Signature of Selle//r��!!�r�,C����
S gnat f Se,er
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Prim! Name of Seller D�a la_S_ig`_ned fmmlddlyyyy)
Printed Name of Seller Dale Signed (nrmrddfyyyy)
I
Taylor Median t' 10/0812026
Dalen Hale 1 2026 }I
J. BUYER(S)IGRANTEE(S) -- APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL TH P L�— -_
ears on conve ante document
Buyer 1�-Name as it appears Y
Buyer 2 - Name as it appears on conveyance o m j(
II Steven L. Woods _. _
Tarise E. Woods
Address (number and street)
Address (number and street)
261 W 80D N
261 W 800 N
City, State, and ZIP Code
City, State, and ZIP Code
Hazleton, IN 47640
Hazleton, IN 47640
Country
us
Ensaii Address Telephone Number I
1
Country
us �f8
Email Address i Te epH �j� b UD
618 ) 384-14�rG
i 83
s.woodsB8@outlook_com ( 812 ) 677-1537
triaw123@yahoo_com �1
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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
® 0 3. Homestead
® 0 residence?
0 (N 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated
0 ® 5. Wind Power Device
0 ® for this residence? If yes, provide address: f
0 ® 6. Hydroelectric Power Device
Address (number and street)
0 ® 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
(9%
Under penalties of perjury. 1 hereby certify that this Safes Disclosure, to the best of my knowledge and belief, is true, correct, and complete
IC 6.1.1.5.5. A who knowingly and intentionally falsifies the value of
as required by law, and is prepared in accordance with person
transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Mofe: Both spOrfse's
ld
Jnforrrtatiorr, SSWDriver's LiconseflD/Other Number is necessary only if Homestead Deductio!i;�i
Signa re_ o u er 1
Signal re of Buyer 2JSpo
as ..ter
1 S r, Date (Ml41/DCIYYy
Printed Legal Name of Buyer 9
Printcc! Legal N n e of un Data F,
Steven L Woods 10/8/2026
Terise E. Woods 10108/2025 _
Last D' iiG of 2/5pouse SSA (Driver's Llcense/I1010!her Number
Last 5 Digits of Buyer 1 SSSMOriver's Llcons&ID)Othar Number
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