HomeMy WebLinkAboutHomestead_Sailer (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 conveya ment
Elite Companies, Inc., an Indiana Corporation
Address (number and street) Address (number and street) '..e\ 14\-
`304 E SR 68 `rel) A__
City. State and ZIP Code City, State and ZIP Code J
Haubstadt, IN 47639 _ , C/e - 7 , '4 .....10)
CountryCountry �ti r-z— s
C� -�_
United States of America o&,
and intentionally falsifies the value of transferred real property, or
omits or falsifies any information required to be provided, commits a Level 5 felony.
)5ignatur��f S0�tt f�'� Signature of Seller
Printed Name of Seller Date Signed (mmidd/ Printed Name of Seller Date Signed (mm/dd/yyyy)
Phillip Reinbrecht, President YYYY)
8/26/2025
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
Jeffrey Sailer Kaitlyn Tennant
Address (number and street) Address (number and street)
72 W 800 S ,
City, State and ZIP Code City. State and ZIP Code
Fort Branch, IN 47648 . IN
Country Country
United States of America United States of America
Email Address
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 apply:
YES NO CONDITION YES NO CONDITION
p . Will this property be the buyer's primary residence? CJ 3. Homestead
0 2. Does the buyer have a homestead to be vacated for ❑ El 4. Solar Energy Heating or Cooling:,Sys
''S i Devceie.
ti`
this residence? If yes, provide address: 0 RI 5. Wind Power 4Y'
❑ 0 6. Hydroelectric Power Device
Address (number and street)
❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
a()�ll - IIU000k 01y — O2
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 information, SSN/Driver's
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