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HomeMy WebLinkAboutHomestead_Jordan (2)H. PREPAREIR Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrc w Officer Company E-mai address I 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 ofAmeri a 47713 I. SELLER(S)/GRANTOR(S) I Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it appears on -conveyance document Marcus K. Rains, by, Kenneth E. Rains, his attorney -in -fact Marci is K. Rains, by Daniel M. Rains, his attorney -in -fact Address (number and street) Addr s (number and street) 113 N 2nd Ave 113 NJ 2nd Ave City, State and ZIP Code City, r tate and ZIPS Code Princeton, IN 47670 PrinCE ton, IN 47670 Country Country United States of America United States Of A_ menca Email Address Telephone Number Email ddress Telephone Number Under penalties of perjury, 1 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 a id intentionally falsifies the value of transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felon 1. SignatuO of Seller / /� �'� Signature of Seller /y% b /4 �'/Ez— Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Sign (mm/dd/yyyy) Marcus K. Rains, by, Kenneth E. Rains, his YYYY) Marcus K. Rains, Daniel M. Rains, his 6/18/2026 attorney -in -fact 6/22/2026 attorne -in-fact ly J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - DENTIFY ALL THAT APPLY Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears nce document Marcus Jordan j Address (number and street) Addr !ss (number i nd street) 113 N 2nd Ave. City, State and ZIP Code City, hate and ZIP Code 9 2026 Princeton, IN 47670 Country Coun ry United States of America C'/BSO C Email Address Telephone Number Email Address JAI ITYA hone Number I ' �-u70-r� // TOR Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for ce}tain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION 0 ❑ 1. Will this property be the buyer's primary esidence? 0 ❑ ❑ 3. Homestead 0 4. Solar Energy Heating or Cooling System ❑ 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 07. Geothermal Energy Heating or Cooling Device l' _ ta, �o L) _C)o o '-/69 _ �� Address (number and street) 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 kn property, or omits or falsifies any information required to be provided, commits a wingly and intentionally falsifies the value of transferred real evel 5 felony (Note: Both spouse's information, SSN/Driver's LicenseliD/Other Number is necessary if a Homestead Deduction is being filed.) ignature of Buyer 1 Signa -ure of Buyer 2/Spouse Printed Legal ame of Buyer 1 Sign Date (MM/DD/YY) Printe Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Marcus Jordan 6/22/2026 ast 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: Page 3 H. PREPARER Preparer of the Sales Disclosure Form Title �. Matthew Jarvis Escrol Officer Company E-mai 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. SELLERS)/GRANTOR(S) Seller 1 — Name as it appears on conveyance document Seller�2 — Name as it appears on!conveyance document Marcus K. Rains, by, Kenneth E. Rains, his attorney -in -fact Marc s K. Rains, by Daniel M. Rains, his attorney -in -fact Address (number and street) Addre s (number and street) 113 N 2nd Ave 113 N 2nd Ave City, State and ZIP Code City, State and ZIP,Code Princeton, IN 47670 Princeton, IN 47670 j Country Count United States of America Unites States of America ' Email Address Telephone Number Email ddress Telephone Number (577^ 6`4531 Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my �Cnowledge 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 a d intentionally falsifies the value of transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felon Signature of Seller L Signat re of Seller Printed Name of Seller [gate Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy) Marcus K. Rains, by, Kenneth E. Rains, his YYYY) Marcus K. Rains, by Daniel M. Rains, his 6/18/2026 attorney -in -fact 6/22/2026 attorney -in -fact J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS — I�ENTIFY ALL THAT APPLY li Buyer 1 — Name as it.appears on conveyance document Buyer 2 — Name as it appears on'; conveyance document Marcus Jordan Address (number and street) Addre s (number and street) 113 N 2nd Ave. I City, State and ZIP Code City, Mate and ZIPiCode Princeton, IN 47670 Country Count j United States of America Email Address Telephone Number Email Address Telephone Number Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply forcehain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION RI ❑ 1. Will this property be the buyers primary residence? 2 EI ❑ 3. Homestead Q 4. Solar Energy Heating or Cooling System ❑ ❑ 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: ❑ ❑ 0 5. Wnd Power Device 0 6. Hydroelectric Power Device Address (number and street) ❑ © 7. Geothermal Energy Heating or Cooling Device I I 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 Llleve' 5 felony; (Note: Both spouse's information, SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.) Signature of Buyer 1 A 0 AS Signatire of Buyer 2/Spouse Printed Legal Name of Buyer 1 Sign Dat (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DDNY) Marcus Jordan 6/22/2026 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: Page 3