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Homestead_Gates 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 Elite Companies, Inc.,an Indiana Corporation F.K.A.5 flu aft 17.14. U.9.A. Re inbelek-/�©�rr�.s t- '' _ .p,,,,,,,. Address(number and street) Address(number and street) 304 E SR 68 City, State and ZIP Code City, State and ZIP Code 1,(`® Haubstadt, IN 47639 /j/a Country Country l/13 United States of America t,y ZQ�f knowledge and belief,is true,corrifikpg o plete 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 tr`diS` ' red real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Signatur�of Selp,2 Signature of Seller J (/ha-/4 Printed Name of Seller Date Signed(mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy) Dona Brown,Authorized Signer YYYY) 10/31/2024 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 Seth Garrett Gates Kylie Nicole Gates Address(number and street) Address(number and street) 1424 North Niehaus Trail 1424 North Niehaus Trail City, State and ZIP Code City,State and ZIP Code . 4•f + Huntingburg, IN 47542 Huntingburg, IN 47542 ..- Country Country United States of America United States of America YES NO CONDITION YES NO CONDITION LEI 0 1. Will this property be the buyer's primary residence? CAI 0 3. Homestead R' 0 2. Does the buyer have a homestead to be vacated for 0 © 4. Solar Energy Heating or Cooling System this residence? If yes, provide address: ❑ El 5. Wind Power Device Address(number and street) 0 WI6• Hydroelectric Power Device 1424 North Niehaus Trail 0 © 7. Geothermal Energy Heating or Cooling Device City, State,and ZIP Code County Huntingburg, IN 47542 Dubois ` --‘1( —�l'3OQ—004 ?:3-C, —0 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