HomeMy WebLinkAboutHomestead_MastersH. 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 app veyance document
Jeremy W. Newton
jLl,.
Address (number and street)
12269 E 100 S
Address (number
and street)
City, State and ZIP Code
Oakland
City, State and
ZIP Code JUL p
ZQ2�
City, IN 47660
Country
Country
United States of America
G�
Email Address
Telep one Number
Email Address
UNi);;
lephone Number
S
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 S i Iler
Printed Name of Seller
Date Signed (mm/dd/
Printed Name of Seller Date Signed (mm/dd/yyyy)
Jeremy W. Newton
yyyy)
7/2/2026
J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS
— IDENTIFYlALL THAT APPLY
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears on conveyance document
Dakota L. Masters
Kaitlyn M. Gentry
Address (number and street)
Address (number and street)
426 W. Oak St
426 W Oak St 11
City, State and ZIP Code
City, State andIZIP Code
Oakland City, IN 47660
Oakland City, IN 47660
Country
Country
United States of America
United States of America
Email Address
Telephone Number
Email Address
Telephone Number
(812) 632-8330
(812) 677-6412
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
d ❑ 1. Will this property be the buyer's primary residence?
Q ❑ 3.
❑ 0 4.
Homestead
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.
❑ 0 6.
Wind Power Device
Hydroelectric Power Device
Address (number and street)
❑ Q 7.
_l L� _
Geothermal Energy Heating or Cooling Device
l g _ q0 d, cco _0ou
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
License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
igna ure of Buyer 1
i tur f Buye
2/Sp e
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spo a Sign Date (MM/DD/YY)
Dakota L. Masters 7/2/2026
Kaitlyn M. Gentry 7/2/2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
SSN: 060 b ®V 8/0
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
SN: , ZV
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