HomeMy WebLinkAboutHomestead_Pezeln. rRGr1AMr_M
Preparer of the Sales Disclosure Form
Matthew Jarvis
Title
Escrow Officer
Company E-mail address
Southwestern Indiana Land Title matt@swiniand.com
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
JCLLCMJ0JiUKAN I UK(S)
Seller 1 — Name as it appears on conveyance document
Elite Companies, Inc., an Indiana Corporation
Address (number and street)
304 E SR 68
City, State and ZIP Code
Haubstadt, IN 47639
Country
United States of America
Email Address Telephone Number
dona@reinbrechthomes.com
Telephone number
(812) 425-0055
Seller 2 — Name as it appears on conveyance document
Address (number and street)
City, State and ZIP Code
Country
Email Address
Telephone Number
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 ^�
Printed Name of Seller Date Signed (mm/dd/
Phillip Reinbrecht, President yyyy)
5/4/2026
Signature of Seller
Printed Name of
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS —IDENTIFY ALL THAT APPLY
Buyer 1 — Name as it appears on conveyance document
Skylar Pezel
Address (number and street)
6135 Alexandria Dr, Apt D
City, State and ZIP Code
Evansville, IN 47715
Country
United States of America
Email Address
Buyer 2 — Name as it appears
Address (number and street)
City, State and ZIP Code
Country
G/GSON
Telephone Number I Email Address
(219) 781-8909
Date Signed (mm/dd/yyyy)
v y ce document
t>
At bbne 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 anoiv:
YES NO
Z ❑
CONDITION
1. Will this property be the buyer's primary residence?
2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
Address (number and street)
City, State, and ZIP Code
County
YES NO CONDITION
Z ❑ 3. Homestead
❑ Z 4. Solar Energy Heating or Cooling System
❑ Z 5. Wind Power Device
❑ Z 6. Hydroelectric Power Device
❑ Z 7. Geothermal Energy Heating or Cooling Device
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/Drivers License/ID/Other Number is necessary if a Homestead Deduction is being riled.)
ign ture of Buyer 1 Signature of Buyer 2/Spouse
Prin eat Leg Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Skylar Pez 5/4/2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
°SSN: C �i IN 01 ; 72
,8674
Page 3