Homestead_Loehr 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
Household Thoughts, L.L.C.. an Indiana limited liability company
Address (number and street) Address (number and street)
10890 S. US Hwy 41
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639 1,4,
Country
Country Sep -6
United States of America S i
Email Address
knowledge and belief, e . ect, and complete as eq
by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies th ,ransferred real property, or
omits or falsifies any information required to be provided, commits a Level 5 felony. 4/), •
Signature of Selleri
Signature of Seller S g
Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller ` Date Signed (mm/dd/yyyy)
Brian S. Ellis, Managing Member 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
Joseph Loehr Aliyah Loehr
Address (number and street) Address (number and street)
710E800S 710E800S
City, State and ZIP Code City, State and ZIP Code
Fort Branch, IN 47648 Fort Branch, IN 47648
Country Country
United States of America United States of America
Email Address
certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O 0 1. Will this property be the buyer's primary residence? El ❑ 3. Homestead 1,
El ❑ 2. Does the
buyer have a homestead to be vacated for ❑ 0 4. Solar Energy Heating or Cooling - ,
this residence? If yes, provide address: ❑ El 5. Wind Power Device
0 El 6. Hydroelectric Power Device
Address (number and street)
710 E 800 S L� - VI- _ 100-00 L .L 1 - 0 0 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County O2` -- q
Fort _
Branch IN 47648 Gibson ofI b '1-1 - 1 2^ �, O0 7 Z6 . 0 2 Z
,
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
License/ID/Other Number is necessary if a Homestead Deduction is being filed.)