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Homestead_Long (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 Elite Companies, Inc., an Indiana Corporation F.K.A. SPM Development, Inc., an Indiana Corporation D.B.A. Reinbrecht Homes Address(number and street) Address (number and street) /4 304 E SR 68 City, State and ZIP Code City, State and ZIP Code 4/n ,...; Haubstadt, IN 47639 Country Country © ?/�f United States of America O/tgs 1(1 Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,coabj d complete as required by law,and is prepared in accordance with e-6-11.1-5.5.A person who knowingly and intentionally falsifies the value of tr sferred real property,or omits or falsifies any information re9y d to be provided,commits a Level 5 felony. Signature o eller...1./....„,,.. Signature of Seller Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed(mm/dd/yyyy) Brooke Traylor,Authorized Signer YYYY) 11/15/2024 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 fiyler J. Lon Ashley M. Long Address (number and street) Address (number and street) 401 Swallowfield Dr 401 Swallowfield Dr City, State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country United States of America United States of America 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 ap•�F. , YES NO CONDITION YES N OOAtCZITIONt 0 ❑ 1. Will this property be the buyer's primary residence? 0 ❑ 3. Hom Y',tee ,R' s' ❑ 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: 0 0 5. Wind Power Device Address(number and street) 0 El 6. Hydroelectric Power Device ❑ 0 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County 3 I - 3e2 p - oD y. ). 5 c' _ C) a. i ;G - « - 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 falsities 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/ID/Other Number is necessary if a Homestead Deduction is being filed.)