HomeMy WebLinkAboutHomestead_HutchinsonH. PREPARER
Preparer of the Sales Disclosure Form
Title
Matthew Jarvis
Escrow Officer
Company
Southwestern Indiana Land Title
E-mail address
matt@swinland.com
Telephone number
1(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 l
47713
I. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document
Gregory R. Harpenau
Seller 2
L Name as it appears on conveyance document
Address (number and street)
Address
(number and street)
1133 W 1000 S
City, State and ZIP Code
Haubstadt, IN 47639
City, State
and ZIP Code
Country
Country
United States of America
Email Address
elephone Number
Email Address
Telephone Number
NIIA Vff7 0
- r -•,-•„ • ••�•��, y "". �aab v,bciosure, to the Best or 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. I
�Signate of Seller Signature of Seller
Printed Name'dff Seller Date Signed (mm/dd/ Printed Nbme of Seller Date Signed (mm/dd/yyyy)
Gregory R. Harpenau yyyy)
6/16/2026
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 i Name as it appears on conve e o
Brick Hutchinson Mackenzee M. Hutchinson
Address (number and street) Address (number and street)
5254 S Washington St. 5254 S. Washington St. N 18
City, State and ZIP Code City, State and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660 G/eso
Country Country �NTY
United States of America United States of America qVp
Email Address 7(812p)
lehone Number Email Address Telep one Number
677_0960 �J ZZ7 c1 GLe 1
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 Ij 3. Homestead
ge ❑ 2. Does the buyer have a homestead to be vacated for ❑ 00J 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: ❑ 10I 5. Wind Power Device
Address (number and street) �� ❑ Q 6. Hydroelectric Power Device
9U&k 0 ❑ 7. Geothermal Energy Heating or Cooling Device
&CltStat , and ZIP Coe County •
G �� o��-� _fig
-- mO .-( ag - o Z�
Under penalties of perjury, r 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 15 felony. (Note: Both spouses information, SSN/Driver's
License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed eg I Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Brick Hutchinson 6/16/2026 Mack4_n_ze61M. Hutchinson 6/16/2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number ast 5 Digits of Bu er 2/Spouse SSN/Driver's License/ID/Other Number
SSN: (o. `� f[i L.. ,f^ SN. . V44 f . 4144.< Q_
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