HomeMy WebLinkAboutHomestead_Whitfield 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 co el doc ent
Megan Kielb
Address (number and street) Address (number and street) '4
206 N. Church St. �Q/p ,
City, State and ZIP Code City, State and ZIP Code I20
Fort Branch, IN 47648 G/e �6'
Country Country NCO C
United States of America �i°y
Email Address �/�
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 of Seller , Signature of Seller
1q (A Printed Nne of Seller Date Signed (mm/dd/ Printed Name
of Seller Date Signed (mm/dd/yyyy)
Megan Kielb yyyy)
3/10/2026
-40 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 aears o /gen
pp v n document
Jamie Whitfield Scott Whitfield �� e 0
26
Address (number and street) Address (number and
301 S. 4th St. 301 S. 4th St. O/yn c2 1
City, State and ZIP Code City, State and ZIP Code OV''r�� 3`'�-1
Haubstadt, IN 47639 Haubstadt, IN 47639 4�O/rOp
Country OR
Country
United States of America United States of America
Email Address
. (,.),--O ).)--oife
j- 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
0 El 1 . Will this property be the buyer's primary residence? 0 ❑ 3. Homestead
'4- 0 0 2. Does the buyer have a homestead to be vacated for ❑ 0 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: El 0 5. Wind Power Device
0
Address (number and street) CI0 6. Hydroelectric Power Device
Qi
301 S. 4th St. ❑ 0 7. Geothermal Energy Heating or Cooling Device
s'
p City, State, and ZIP Code County
(-11( Haubstadt, IN 47639 Gibson a LQ - Act ` lc' . _ O t -. cDoo L 0. _C . _, 0
`1 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/ID/Other Number is necessary if a Homestead Deduction is being filed.)
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