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Home My WebLink AboutHomestead_Bottoms (2).H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company E-mail address Telephone number Southwestern 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 1. SELLER(S)/GRANTOR(S) Seller 1 — Name as it appears on conveyance document Seller 2 — Name as it appears on conveyance document Tyler Bottoms Address (number and street) Address (number and street) 11148 E 700 S City, State and ZIP Code City, State and ZIP Code Oakland City, IN 47660 Country Country United States of America Email Address Telephone Number Email Address Telephone Number ?f —F 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 Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller ate Signed (mm/dd/yyyy) Tyler Bottoms yyyy) 5/14/2026 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 a rs on co e ya doc nt Travis M. Bottoms Bradley D. Bottoms Address (number and street) Address (number and stye c0(�� 11148 E 700 S 5465 Rowe Trail - City, State and ZIP Code City, State and ZIP Code Oakland City, IN 47660 Pace, FL 32571 Country Country 9 United States of America United States of America Email Address Telephone Number Email Address T�eylephone Number (812) 632-1', b 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 ❑ 1. Will this property be the buyer's primary residence? Q ❑ 3. Homestead ❑ Rl 4. Solar Energy Heating or Cooling System ❑ 0 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: ❑ R1 5. Wind Power Device ❑ Z 6. Hydroelectric Power Device Address (number and street) ❑ RI 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County 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 6-1.1-6.5. 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 LicenseliD/Other Number is necessary if ome duction is being filed.) of B Signatu u er ous ,Signature tZIA& Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Prin ed Legal Nam of a a yer 2/ pouse Sign D(MM/DD/YY) Travis M. Bottoms 5/14/2026 Bradley D. Botto S 5/14/2026 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 sN: 21011 _TW ,DVI Page 3 H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company E-mail address Telephone number Southwestern 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. SELLER(S)/GRANTOR(S) Seller 1 — Name as it appears on conveyance document Seller 2 — Name as it appears on conveyance document Tyler Bottoms Address (number and street) Address (number and street) 11148 E 700 S City, State and ZIP Code City, State and ZIP Code Oakland City, IN 47660 Country Country United States of America Email Address Telephone Number 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 Signature of Seller Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy) Tyler Bottoms yyyy) 5/14/2026 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 appears on conveyance document Jill L. Bottoms Address (number and street) Address (number and street) 5465 Rowe Trail City, State and ZIP Code City, State and ZIP Code Pace, FL 32571 Country Country United States of America Email Address Telephone Number Email Address Telephone Number (812) 632-1349 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 ❑ 1. Will this property be the buyer's primary residence? 0 ❑ 3. Homestead ❑ 0 4. Solar Energy Heating or Cooling System ❑ 0 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: ❑ 0 5. Wind Power Device ❑ 0 6. Hydroelectric Power Device Address (number and street) ❑ 0 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County 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 LicenseAD/Other Number is necessary if a Homestead Deduction is being filed.) nia r•,f..B r 1 Signature of Buyer 2/Spouse P Inted Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Jill L. Bottoms 5/14/2026 5/14/2026 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 Page 3