Homestead_Vigoreaux H. PREPARER . ,
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address(number nd 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) .
Seiler 1 -Name a's it appears on conveyance document Seller 2-Name as it appears on conveyance document
Hoosier Homes and Hospitality LLC,an Indiana limited liability N.
company
Address(number and street) Address(number and street)
3111 Bellemeade Ave.
City,State and Zip Code City, State and ZIP Code
Evansville,IN 47714 ,
Country Country
United States of America
Email Address
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 informption required to be p vided,commits a Level 5 felony.
)(Signature of Seildr ( 7 1 1. Signature of Seller
I
Printed Name of Seilf Da e Signed(mmiddi Printed Name of Seller I Date Signed(mmkid/yyyy)
John Kissel,Menjber YYYY)
6/30/2025
J. BUYER(S)!GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY p
Buyer 1 -Name s it appears op conveyance document Buyer 2-Name as it appears on conveyasit
David Rivera Vigoreaux
Address(number and street) Address(number and street) Jilt 1
f
-
816 E Emerson St. 202 '
City,State and ZIp Code City, State and ZIP Code 4,...;‘,...e , A
r
Princeton,IN 47670 , sON C2
,t1
Country Country COukr..L.•
•r„i„ '
United States of America `11)/rOri
Email Address „"
deductions.Identify all of those at bpi :
0- 113,P
YES NO CONDITION YES NO CONDITION
1
El 0 4,I. Will this property be the buyer's primary residence? El El 3. Homestead „., ,4il
.,.•
i
El of 2. Does the buyer have a homestead to be vacated for 0 . El 4. Solar Energy Heating or Cooling 4,.tern 4... '
thi ,residence? If yes,provide address: 0 El 5. Wind Power Device I
Address(numbei-and street) 0 0 6. Hydroelectric Power Device
0 0 7. Geothermal Energy Heating or Cooling Devic
City,State,and ZIP Code County
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 omit 4 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 tiled.)