Homestead_Dearing 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 ii.
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639
Country Country 6) �'
41c- e)
United States of America /
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Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belieforrect, 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 troy,, of transferred real property, or
omits or falsifies any information required to be provided, commits a Level 5 felony. J ��4-
Signature of(Seller Signature of Seller
Oii..2.- 7E -ter
Printed Name of Seller Date Signed mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy)
Dona Brown, Authorized Signer YYYY)
12/10/2025
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
Dewey E. Dearing Betty L. Dearing
Address (number and street) Address (number and street)
520 S 9th Ave, Condo 520 520 S 9th Ave, Condo 520
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639 Haubstadt, IN 47639
Country Country
United States of America 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:
1
YES NO CONDITION YES NO CONDITION 1-7)
RI 0 1. Will this property be the buyer's primary residence? El ❑ 3. Homestead ...c.(:_N
❑ 2. Does the buyer have a homestead to be vacated for ❑ ❑ 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: ❑ El 5. Wind Power Device --.c* (4(4,04% '4'
Address (number and street) ❑ El6. Hydroelectric Power Device
❑ Z 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
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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