Homestead_Rhoad H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street, city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyan ment
Southern Indiana Home Investments LLC
Address(number and street) Address(number and street)
2736 S 300 West C� M�y I)
'
City,State,and ZIP Code City,State,and ZIP Codes- , I6
Washington, IN 47501-7418 0,.. ��cY
Country Country O4'I co c4ti�
E-mail Address E-mail Address q(O hone Number
7.
0,9
Under •e'alties of;perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
requ' ed b 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 •rope its or falsifies any information required to be provided,commits a Level 5 felony.
Sig :to ' ��v Signature of Seller
04
Print-• Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Anthony Lengacher,Member April 19, 2024 April 19, 2024
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
Bernadette Rhoad
Address(number and street) Address(number and street)
227 S Jackson Street
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660-1525
Country Country
E-mail Address
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
I RV❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? ❑ Cr-4. Solar Energy Heating or Cooling System
i El for
the buyer have a homestead to be vacated ❑ 5.Wind Power Device
for this residence? If yes, provide address: ❑ 6. Hydroelectric Power Device
Address(number and street) 0 " 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County )
26 - 14 -) `t( - -vl.1 - ()'0.33 - 00-4-
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