Homestead_Harpenau (3) 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
Jonna L. Whitten
Address (number and street) Address (number and street)
PO BOX 353
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639
Country
Country
United States of America
Email Address
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.
Sign e of Seller Ali/
�,// Signature of Seller
Prin ed Name of Seller Date Signed (mm/dd/ Printed Name of Seller j Date Signed (mm/dd/yyyy)
Jonna L. Whitten yyyy)
9/18/2025 Pi-
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY
1--.:3
Buyer 1 - Name as it appears on conveyance document ' Buyer 2 - Name as it appears on cony c d ent
Kristen Harpenau Sep
Address (number and street) Address (number d street)
1301 W Cloverdale Ct Gf (0<25
City, State and ZIP Code City, State and ZIP C
Th
Haubstadt, IN 47639 c
Country Country �q�� •
United States of America PTO
R
Email Address
for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Q ❑ . WI! this property be the buyer's primary residence? IZ D 3. Homestead
CI 2. Does the buyer have a homestead to be vacated for ❑ El 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: ❑ El 5. Wind Power Device
Address (number and street) 0 El6. Hydroelectric Power Device
❑ El 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
_ . - 1q --3I - +01 -- 000 - LS, CID9 .
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