Homestead_Mathew 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
Carla Gibbs
Address (number and street) Address (number and street)
J LP IP40 ti.J f l u3 -b
City, State and ZIP Code City, State and ZIP Code
Country Country '
United States of America
Email Address ,,,
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Under penalties of perjury, I 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 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.
Signature of Seller Signature of Seller
Lam' ,._ r-1 r sir fl f
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Printed Name of Seller Date Signed (mm/ddi Printed NameceVill\18......4Date Signed (mm/dd/yyyy)
Carla Gibbs yyyy)
9/12/2025
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THA _ P % 0 (cD
Buyer 1 — Name as it appearsconveyance on conve ance document Buyer 2 — Name as it a$ ears on conveyan, ce.slocument
Tia M. Mathew James R. Choate
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Address (number and street) Address (number and street) ` (,�:1-y pv
9915E550S 9915E550S " ,„c! C,OVN
City, State and ZIP Code
City, State and ZIP Creme
. Oakland City, IN 47660 Oakland City, IN 47660
' Country Country
j United States of America United States of America
I Email Address
YES NO CONDITION YES NO CONDITION
® E 1. Will this property be the buyer's primary residence? Q 0 3. Homesteadr .
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❑ 2. Does the buyer have a homestead ❑ Q 4. Solar EnergyHeatingot Cooling yS4sst M
` this residence? If yes, provide address: 0 Q 5. Wind Power Device
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0 Address (numb gr and street) 0 El 6. Hydroelectric Power Device
I - qq/ `.63.0 6 ❑ Q 7. Geothermal Energy Heating or Cooling Device
City, State, and IP Code County 1
Oak C;ty, RV MO (most" 2—lc , — 1 `--f — — LA C: — 001 • L —
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
I 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