HomeMy WebLinkAboutHomestead_SaterH. PREPARER
Preparer of the Sales Disclosure Form
Title
Stephanie Curtis
Closing Agent
Company
E-mail Address
Telephone Number
Columbia Title, Inc
stephanie.curtis@columbiatitleg,j+
(812) 471-8563 ext. 402
Address (number and street, city, state, country, and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Chad Cundiff
Kristen J. Dicus
Address (number and street)
Address (number and street)
�, 7Z,
1917 N. Carithers Rd.
City, State, and ZIP Code
City, State, and ZIP Code
Z. L
Princeton, IN 47670
Country
Country
USA
USA
E-mail Address
Telephone Number
E-mail Address
Telephone Number
chadcundiff1979@gmail.com
(812) 454-2993
sissyjo81 @hotmail.com
(812) 664-0550
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 6-1.1-5.5. 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 Sell
Si ture of Sel er
Printe of Seller
Date Signed (mm/dd/yyyy)
Printed Name f Seller
Date Signed mm/dd/yyyy)
Chad Cundiff
10/16/2026
Kristen J. Dicus
6
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THA PP
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears on conveyance document
Elizabeth P. Sater
Kathleen Jo Hatton
Address (number and street)
Address (number and street) OCT
19 202
1210 South McKinley Avenue
1210 South McKinley Avenue
City, State, and ZIP Code
City, State, and ZIP Code
Evansville, IN 47710
Evansville, IN 47710
Country
Country G/BS_ON
CDUN7-Y
USA
USA
E-mail Address
Telephone Number
E-mail Address
Telephone Number i
khatton9835@yahoo.com
(812) 401-0085
khatton9835@yahoo.com
(812) 881-0437
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
X❑ ❑ 3. Homestead
1. Will this property be the buyer's primary
0 ❑ residence?
❑ FX� 4. Solar Energy Heating or Cooling System
❑ ❑X 5. Wind Power Device
Power Device
2. Does the buyer have a homestead to be vacated
❑ If address:
for this residence? yes, provide
❑ Q 6. Hydroelectric
❑ ❑X 7. Geothermal Energy Heating or Cooling Device
r16 _ 1�_ l _ 1Q�_ �
Ad r 6 amber and st et
Cit,J ate, ZIP code, and opnty � / 0
,I
Under penalties of perjury, 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/1D/Other Number is necessary on/yif a Homestead Deduction is being filed.)
Signs . re of uyer l ��
l5,/
Si u e of Buyer 2/Spouse
w , t(
(�
Pnnted Le Name of Buyer 1 Sign Date (MM/DD/YY)
irjted Legal Name ofMyer 2/Spouse Sin Dale (MM/DD/YY)
Elizabeth P. Sater 10/16/2026
Kathleen Jo Hatton 10/16/2026
Last 5 Digits of Buyer 1 S Ngriver's License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
63 toCIi
SS
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