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H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis ! Escrow Officer
'
Company '
Address (number and street, city, tate, 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 ,
Country Country
United States of America
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.
Signature of Sell %� Signature of Seller
C -
Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller 1 Date Signed (mm/dd/yyyy)
Phillip Reinbrecht, President YYYY)
2/6/2026
J. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT L
Buyer 1 — Name as it appears on conveyance document Buyer 2 — Name as it appear onv cument
Brenda Thompson
Address (number and street) Address (number and strirt49
K, 1718 W Rose Ct. 09
City, State and ZIP Code City, State and Z ode 476
0 Y �
Princeton, IN 47670 Glen
( Country Country C*O(/
7- United States of America �qU4/�
Email Address
certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
E( LI . Will this property be the buyer's primary residence? CI O 3. Homestead
t O El 4. Solar EnergyHeatingor CoolingSystem
N 2. Does the buyer have a homestead to be vacated for Y
O this residence? If yes, provide address: O Z 5. Wind Power Device
Address (number and s eet) 0 0 6. Hydroelectric Power Device
T- , 'S 2 2- ,Ni- tildrvv,tf'-c.) C 0 07. Geothermal Energy Heating or Cooling Device
0 City. State, and�/ZIP ovde( I County )U , F
2CQ il - i . - too ooLt C-)-7- 0 QS .
l 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
._p 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
1 \ 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/1D/Other Number is necessary if a Homestead Deduction is being filed.)