HomeMy WebLinkAboutHomestead_CutshawH. PREPARER
Pre er of les Dis osure Form
Hudson
Title
ierr
Title Company
Company
First Advantage TitleServices LLC
Email Address
shudson@fa-title.com
Telephone Number
/
Address (number and street, city, state, country, and ZIP Code)
2301 N. Burkhardt Road, Evansville, IN 47715
I. SELLER(S)IGRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Douglas A. Low
Emily F. Low
Address (number and street)
Address (number and street)
7420 E State Road 64
7420 E State Road 64
City, State, and ZIP Code
City, State, and ZIP Code
Francisco, IN 47649
Francisco, IN 47649
Country
Country
US
US
Email Address
Telephone Number
Email Address
. Telephone Nu b r
70,51
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.
Sig re of eller
Sign of#Set
Printed Nfime of Seller
Date Signed (mm/dd/yyyy)
Printed Name of Sdker
Date Signed (mm/dd/yyyy)
Douglas A. Low
10/23/2026
Emily F. Low
10/23/2026
J. BUYER(S)IGRANTEE(S) - APPLICATION FOR PROPERTY
TAX DEDUCTIONS - IDENT L.L.THAT APPLY
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears on y c docu en
Caitlin Danielle Cutshaw
Address (number and street)
Address (number and street)
230 S Jefferson Street
City, State, and ZIP Code
City, State, and ZIP Code LILI Zo 2026
Princeton, IN 47670
Country
Country
US
Email Address
Telephone Number
Email Address N COU
$ b r
ITOR
ccutshaw022894@gmaii.com
( 270 ) 853-6923
Pursuant to It: 6-IIA-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
Y NO CONDITION
1. Will this property be the buyer's primary
O 3. Homestead
residence?
O ® 4. Solar Energy Heating or Cooling System
0 ® 5. Wind Power Device
0 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
O ® 6. Hydroelectric Power Device
p ® 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 1C 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, SSWDriver's Licens 11D/Other Number is necessary only if a Homestead Deduction Is being filed.)
'gn to of r1
Signature of Buyer 2/Spouse
rr e Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 218pouse Sign Date (MMIDDIYY)
Caitlin Danielle Cutshaw 10/23/2026
10/23/2026
Last 5 D' its.offBuyer 1 SSN/Drivers License/ID/Other Number
Last 5 Digits of Buyer 21Spouse SSN/Driver's License/ID/Other Number
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