HomeMy WebLinkAboutHomestead_MartinH. PREPARER
Preparer of the Sales
Disclosure Form
Title
Matthew Jarvis I
Escrow Officer
Company
E-mail address
Telephone
number
SoutWlestern Indiana
Land Title
matt@swinland.com
(812) 425�
0055
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. SELLERS)/GR,�NTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as it appears on conveyance
!document
Jason A. Fromme
Shannon Leigh Fromme
Address (number and street)
Address (number and street)
2565 S] State Road 57
2565 S State Road 57
City, State and ZIP Code
City, State and ZIP Code
Oakland City, IN 47,660
Oakland City, IN 47660
Country
Country
United ;States of America
United States of America
Email address
Telephone Number
Email Address telephone
Number
fl
(812) 499-7545
(812)
499-7545
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 linformation required to be provided, commits a Level 5 felony.
S' natulre of SII
i °
I
nature of Sell r v )qVOO)X4
/
7DateP mtediiName of Sel er
Date Signed (mm/dd/
Printed Name of Seller Signed (mm/dd/yyyy)
ason A. Fromme
yyyy)
Shannon Leigh Fromme 5/7/2026
it
5/7/2026
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY
Buyer 1I— Name as it appears on conveyance document
Buyer 2 — Name as it appears nce'document
Brayden Martin
Address (number and street)
Address (number and street)
10103W 450 S
City, State and ZIP Gode
City, State and ZIP Code
%
Owensville, IN 47665
�Q?
Country/esoN
7*43
United ,States of America
c Q xz
Email Address
Telephone Number
Email Address �Yq
Telephone Number
1
(812) 622-9189
�O/T
Pursuar%t to IC 6-1.1-11 44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES
CONDITION
YES NO CONDITION
0 J�NO
❑ 1. Will !this property be the buyer's primary residence?
0 ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
ElV2.
Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ 0 5. Wind Power Device
El 6. Hydroelectric Power Device
Address'!
(number and
street)
❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State,
and ZIP
Code County
Under pnalties
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 spouses information,
SSN/Drivers
License/ID/Other
Number
is n cessary if a Homestead Deduction is being filed.)
ignature
of Buyer 1
Signature of Buyer 2/Spouse
/Air
Printed
Legal Name
of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Brayden
Martin
5/7/2026
Last 5 Digits
of Buyeri
1 SSN/Driver's License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's LicIense/ID/Other Number
SSN:
II 7
6a--1i: