HomeMy WebLinkAboutHomestead_Pauley 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
Address (number and street) Address (number and street)
304 E SR 68
City, State and ZIP Code City. State and ZIP Code Pit
Haubstadt, IN 47639 ,
Country Country "1"--...-ikit)
United States of America Sep
of my knowledge and belia rect, 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 tl . ,y_. nsferred real property, or
omits or falsifies any information required to be provided, commits a Level 5 felony. 1.3,
Signature of Seller 4�0/�
Sign lure of Seller, 9 pk.)ci-Le__ 4L---
Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy)
Dona Brown, Authorized Signer YYYY)
9/18/2025
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
Susan J. Pauley James Pauley
Address (number and street) Address (number and street)
1708 E. Taylor Ave. 1708 E Taylor Ave
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
Email Address
YES NO CONDITION YES NO CONDITION
G 1 . Will this property be the buyer's primary residence? D ❑ 3. Homestead ` ,-1 , M,
t C1 2. Does the buyer have a homestead to be vacated for ❑ 0 4. Solar Energy Heating or Cooling Syte ;. 4' .
this residence? If yes. provide address: D 2 5. Wind Power Device '.
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
License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
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