Homestead_Schmitt (31) M. PREPAREIR
pre;arerof 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
|, SELLER(G)/6;RANTOR(S) '
Seller 1 -Name nmit appears on conveyance document Seller 2-Name osit appears on conveyance document
Tyler R. P|enu> * Taylor R. P|msm|
Address(number and street) Address(number and street)
213GVineSt. 213S Vine St.
City,State and ZIP Code City, State and ZIP Code
Haubutodt. |N 47639 Houbotmdt. |N 47639
Country Country
United States ufAmerica United States ofAmerica
Email �
Under penalties uf perjury,}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|C 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.
'=-' -,(Signature
�_.�JSignaturmofSe|| \9
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Printed Name ofSeller Date Signed (mm/dd/ Printed Name ofSeller ° Date Signed(mm/dd/yyyy)
Ty|orR. P|amw| YYYY) TaylurR. P!emu| 0/5/2025
G/5/2O25
J. 'BUYER(Q)IGRAmTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APP[r
Buyer 1 -Name ouit appears on conveyance document Buyer 2-Name aoitoppoaruo17' t
Landon TGnhmiM A41y
Address(number and otroe8 Address(number and street) -'
3258VK1050G
�
City,State and ZIP Code City, State and ZIP Cd "
Houbntadt. |N 47630 .
Country Country
United States ofAmoduo ~
Email Address
deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
G8 O 1, Will this property be the buyers primary residence? GO [] 3. Homestead
2 Doau�hobuyarhaveahumeataadtoboxauatadfor O �� 4. Solar Energy Heobngor Cooling Syatem
' [] G8 S Wind Power this residence? |f yes, provide address: '
0 06. Hydroelectric Power Device
Addr000(numberandytmaaU [] 0 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 31_S ol~_C) 0[}. 3 5_2 ^_ 09
Under penalties ufperjury |hereby co�itythat this Sales Disclosure,wm the best ofmyhaovv|ndgo and belief,is true,correct,and complete os
mquimdby!aw^and)o prepared inocuurdancavxith|Cn4.1'6.5.Aperspem/hoknowing|yandinu*mUonm||yfa|sifiestnwvm/uen,transvmrpeuroa|
property,o,omits mrfalsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse s information,SSNIDriver's
c/temoeVc»Ouvor Number/s necessary/faHomestead Deduction im being riledV
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