Homestead_Loehr (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
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. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
James B. Loehr and Julia K. Loehr Revocable Living Trust dated May 08, 2002,B.as Loehr
and Juliaulia K. Loehr Revocable Living Trust dated May
08, 2002, as amended
Address (number and street) Address (number and street)
746 E 800 S 746 E 800 S
City, State and ZIP Code City, State and ZIP Code
Ft. Branch, IN 47648 Ft. Branch, IN 47648
Country
Country
United States of America USA
E-mail address
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.`i
�Signatur eller ignature of/Sell r
Print ame of eller Date signed (mm/dd/yyyy) Prin(ae of Seller Date signed (mm/dd/yyyy)
es B. Loehr, Trustee 10/14/2022 Ja s B. Loehr and Julia K. Loehr 10/14/2022
Revocable Living Trust dated May 08, 2002,
as amended
J. BUYER(S)/GRANTEE(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
oseph T. Loehr Aliyandr H. nuehr
mb r III .
JE 1nurriber and street) Address (number and street) N E
710E800S 710E800S
City. State and ZIP Code City, State and ZIP Code OCT 1 9 2022
Ft. Branch, IN 47648 Ft. Branch, IN 47648
Country Country
United States of America United States of America (
apply:
YES NO CONDITION Y Eo#BI
p ❑ 1. Will this property be the buyer's primary residence? WICI3. Homes d c7`
ElEl 4. Solar Energy Heating or Cooling System \�'J�
❑ IZ 2. Does the buyer have a homestead to be vacated for ❑ p 5. Wind Power Device
this residence? If yes, provide address: ❑ El 6. Hydroelectric Power Device
Address(number and street) ❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State, ZIP code. and county ! OAS
9 - 2CP -‘na _ oo A . cji cr. 7
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