Homestead_Pierce H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbigail 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 conve ' . - document
Eddie Wayne Ravellette. Jr.
Address (number and street) Address (number and street)
177 E 1025 S
City. State and ZIP Code City. State and ZIP Code Ori -N6N:4?)
Haubstadt. IN 47639 ,
Country Country G-4,„ - �
United States of America 610 �`S
Email Address Telephone Number Email Address O' C? Telephone Number
-90 i
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, Corr : s 4 omplete 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 tr. ' ferred real property, or
omits or falsifies any information required to be provided, commits a Level 5 felony.
SigWelle Signature of Seller
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Printed Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mm/dd/yyyy)
Eddie Wayne Ravellette. Jr 10/15/2025
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
Mathew Pierce Alyssa Pierce
Address (number and street) Address (number and street) 404
3135 E Carithers Rd 3135 E. Carithers Rd,
• . „ ''' 4 ?!
City. State and ZIP Code City, State and ZIP Code s,,,,c...
Princeton, IN 47670 Princeton. IN 47670
' ,
Country Country
United States of America United States of America
Email Address
for certain deductions. Identify all of those that apply:
YES NO CONDITION Y" NO CONDITION
(� 0 1. Will thisProPertY be the buyer's primary residence? C 3. Homestead d
❑ 2. Does the buyer have a homestead to be vacated for this ❑ 4. Solar Energy Heating or Cooling System
residence? If yes provide address ❑ RI 5. Wind Power Device
Address (number and street) ❑ El 6. Hydroelectric Power Device
❑ E1 7. Geothermal Energy Heating or Cooling Device
City, State. and ZIP Code County d / ,19 —
3 1 _14 O 0 -co 1 . D
• b 29 _ 1)21 ,
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