HomeMy WebLinkAboutHomestead_MadisonH. PREPARER
Preparer of the Sales
Disclosure Form
Title
Matthew Jarvis
Escrow Officer
Company i
E-mail address
Telephone number
Southwestern India
ia Land Title
matt@swinland.com
(812) 425-0055
Address (number a
id street, city, state, country, and ZIP code)
605 SE Martin Lutli
er King Jr Boulevard, Evansville IN United States of America 47713
I. SELLERS)/G
NTOR(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 SIR 68
City, State and ZIP
3ode
City, State and ZIP Code
Haubstadt IN 47639
Country iCountry
United States ofAmerica
Email Address
Telephone Number
Email Address
Telephone Number
dona@rein,brechth
mes.com
�81,2 — 6e6- 013
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 6A.1-5.5. A person who knowingly and intentionally falsifies the value of transferred real property, or
omits or falsifies an
information required to be provided, commits a Level 5 felony.
Signature of Seller
_
Signature of Seller
Printed Name of S
er
FDate Signed (mm/dd/
Printed Name of Seller Date Signed (mm/dd/yyyy)
Phillip Reinbrecht, President
yyyy)
14/30/2026
J. BUYER(S)/GRAN
EE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS
— IDENTIFY ALL THAT AP
Buyer 1 — Name as
it appears on conveyance document
Buyer 2 — Name as it appe s ent
McKinley T. Madiso
, Sr.
��tn
Address (number and
404 N West St
street)
Address (number and stree,
'Q% O
City, State and ZIP
Code
City, State and ZIP de z(j
Princeton, IN 4767
G
Country
Country QVIV
United States ofAmerica
Email Address
Telephone Number
Email AddressTO9
Telephone Number
(812) 622-1366
Pursuant to, IC 6-1.1-
2-44, 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 ❑! 1. Will
this property be the buyer's primary residence?
0 ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑ 2. Does
the buyer have a homestead to be vacated for
this re
idence? If yes; provide address:
❑ 0 5. Wind Power Device
❑ 0 6. Hydroelectric Power Device
Address (number arid
street)
❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State,and ZIP
Code County
-- — U? - — OC) I . Sil ii
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 bylaw, ands
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 Nut
iber is necessary if a Homestead Deduction is being riled.)
ig`aturea B ye`r
d
Signature of Buyer 2/Spouse
Printed Legal Na
of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
McKinley T.' Mad o
, Sr. 4/30/2026
Last 5 Digits of Buy
r 1 SSN/Driver's,License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
SSN: _
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