Homestead_Vance 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
Haubstadt, IN 47639 860 '46‘1,1)
Country Country ?S
United States of America �'�B <OA.
Email Address SO4 Telephone Number
of my knowledge and belief, is true, o k .—,1;: complete as required
bylaw, and is prepared in accordance with IC 6-1 .1-5.5. A person who knowingly and intentionally falsifies the value of .: '•-, :d real property, or
O
omits or falsifies any information required to be provided, commits a Level 5 felony. 6;,
yig kure of Seller Signature of Seller
Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy)
Dona Brown, Authorized Signer YYYY)
9/12/2025
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
Lucas Kyle Vance ,
Address (number and street) Address (number and street)
1725 W Rose Ct.
City, State and ZIP Code City. State and ZIP Code 1,
Princeton, IN 47670 .4. a 41 .: ,
Count � 'r'-. H" � 'i�
Country C ry
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
D 1 . Will this property be the buyer's primary residence? 0 ❑ 3. Homestead
7 lil 2. Does the buyer have a homestead to be vacated for ❑ 0 4. Solar Energy Heating or Cooling System
(.....?\
this residence? If yes, provide address: ❑ E 5. Wind Power Device
D El 6. Hydroelectric Power Device
Address (number and street)
p El 7. Geothermal Energy Heating or Cooling Device
City. State, and ZIP Code County
Di,. - ) \ - iq Co L . Sit-._ 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