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Home My WebLink AboutHomestead_StaatH. 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 Byron Eugene Sherman, by, Priscillia Sue Leffler, his attorney -in -fact Address (number and street) Address (number and street)( 7823 Owens Drive City, State and ZIP Code City, State and ZIP Code f (fN Newburgh, IN 47630 Country Country United States of America Email Address Telephone Number Email Address G/BSON C Telephone Number 04 Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, correct, an mplete 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. ,Sj,nature of ler Signature of Seller Print Name of geller U Date Signed (mm!dbP Printed Name of Seller Date Signed (mm/dd/yyyy) Byron Eugene Sherman, by, Priscillia Sue YYYY) Leffler, his attorney -in -fact 6/26/2026 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 Beverly J. Staat Steven R. Staat Address (number and street) Address (number and street) 618SMain St 618SMain St City, State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country United States of America United States of America Email Address Telephone Number Email Address Telephone Number 1 (812) 385-5659 1 (812) 385-5659 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 RI ❑ 1. Will this property be the buyers primary residence? 'Q ❑ 3. Homestead ❑ d 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 Address (number and street) ❑ Z 7. Geothermal Energy Heating or Cooling Device a� _ to _ () -�Cj1— )� , r% 5 3 — da� 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 License/ID/Other Number is necessary if a Homestead Deduction is being filed.) Signature of Buyer 1 , P611a, Signature of Buyer 2/Spouse Printed Legal Name of Buyer 1 Sign Date (IMAM D/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD ) Beverly J. Staat 6/26/2026 Steven R. Staat 6/26/2026 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: I SSN: 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. SELLERS)/GRANTOR(S) Seller 1 — Name as it appears on conveyance document Seller 2 — Name as it appears on conveyance document Dennis Lee Sherman Priscilla Sue Leffler Address (number and street) Address (number and street) 906 E 870- N 1737 S 950 E City, State and ZIP Code City, State and ZIP Code Hazelton, IN 47640 Oakland City, IN 47660 Country Country United States of America United States of America Email Address Telephone Number Email Address Telephone Number `a- L ' 77 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. Signa re f Seller Si tyre of elle 41 rtci Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy) Dennis Lee Sherman yyyy) Priscilla Sue Leffler 6/26/2026 6/26/2026 J. BUYER(S)IGRANTEE(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 Beverly J. Staat Steven R. Staat Address (number and street) Address (number and street) 618 S Main St 618 S Main St City, State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country United States of America United States of America Email Address Telephone Number Email Address Telephone Number 1 (812) 385-5659 1 (812) 385-5659 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 ❑ Er 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 in with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transferred real required by law, and is prepared accordance property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's information, SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being filed.) Signlure of B yer ig e of B 7 �, .. Printed Legal Na e f Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Beverly J. Staat 6/26/2026 Steven R. Staat 6/26/2026 Last 5 Digits of Buye 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number SN: �1 � ®� �J�� SSN: C:. 10 �eti°�; Page 3