HomeMy WebLinkAboutHomestead_Epkins •
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
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.
Sign re of Sell �����r, e` • � Signature of Seller
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Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy)
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J. BUYER(S)/GRANTEE(S) - APPLICATION /OR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Bu 1---Name as it appears on conveyance document Buyer 2 - Name as it appears ance document
,--Carey Epkins ) ED
umber and street) Address (number and street) •
1518 MacArthur Circle
City, State and ZIP Code City, State and ZIP Code FEB 2 0 2026
Evansville. IN 47714
Country Country
United States of America �� a -
Email Address
Email Address GIBSON COUNTY 6 Re Number
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
2 0 1 . Will this property be the buyer's primary residence? /LS ❑ 3. Homestead =-
0 2 2. Does the buyer have a homestead to be vacated for 0 El 4. Solar Energy Heating or Cooling System
this residence? If yes. provide address: 0 El 5. Wind Power Device
Address (number and street) CIEl 6. Hydroelectric Power Device
0 El 7. Geothermal Energy Heating or Cooling Device
City. State, and ZIP Code County
_ 04 - /f -- / 3 -- /00 ^ 04 </. s0 sw6) -2,
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
License/1D/Other Number is rjecessary if a Homestead Deduction is being filed.)