HomeMy WebLinkAboutHomestead_Madison (7) 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
Country '
Country
United States of America
Under penalties of perjury, I hereby certify 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.
Signature oll of nature 2
"-- I Signature Seller
Printed Name Seller Date Signed (mm/dd/ Printed Name of Seller
Phillip Reinbrecht, President YYYY)
Date Signed (mmldd/yyyy)
2/13/2026
J. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 - Name as it appears on conveyance document I Buyer 2 - Name as it appears
Chase Madison on con c
- 4ti
Address (number and street) Address (number and street) iC`s
2349 E. Top Hat Rd. f 8 ,0
26,
City, State and ZIP Code City, State and ZIP Co e:12,;_z' hf \&,)
Princeton, IN 47670 /eS �
O
,2/ .
Country
Country �vQ
United States of America �'
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for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
2 0 1. Will this property be the buyer's primary residence? _ a 0 3_ Homestead
0 ,54' 2. Does the buyer have a homestead to be vacated for 0 0 4. Solar Energy Heating or Cooling m
this residence? If yes, provide address: 0 E 5. Wind Power Device
Address (number and street) 0 26. Hydroelectric Power Device 14,
0 0 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
iLIO- \�1'5 � \ co - c k . erica - 0 -a0 .
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
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