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HomeMy WebLinkAboutHomestead_Elpers (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 I. SELLER(S)/GRANTOR(S) Seller 1 — Name as it appears on conveyance document Seller 2 — Name as it appears on conveyance document Lynn A. Elpers Cynthia G. Elpers Address (number and street) Address (number and street) 2352 E Warrenton Rd 2352 E Warrenton Rd City, State and ZIP Code City, State and ZIP Code Haubstadt, IN 47639 Haubstadt, IN 47639 Country Country United States of America United States of America Email Address Telephone Number Email Address Telepho'n7e Number i5 / � 0 h 45 r 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. Signat re I Si ure of S Name of ller Date Signed (mm/dd/ in d Name of Seller Date Signed (mm/dd/yyyy) Ly n A. Elpers yyyy) Cynthia G. Elpers 7/10/2026 7/10/2026 J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS —IDENTIFY ALL THAT APPLff.� Buyer 1 — Name as it appears on conveyance document Buyer 2 — Name as it appears n v anc d c it Evan L. Elpers Allison N. Elpers Address (number and street) Address (number and street) J'Jz 2352 E Warrenton Rd 2352 E Warrenton Rd % City, State and ZIP Code City, State and ZIP Co Haubstadt, IN 47639 Haubstadt, IN 4763" Country Country C OUNryq�Q United States of America United States of America Email Address Telephone Number Email Address ble hone Number g1� ar5 6 Z ,2 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 © ❑ 1. Will this property be the buyer's primary residence? Cam] ❑ 3. Homestead ❑ 10 4. Solar Energy Heating or Cooling System ❑ 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: ❑ R1 5. Wind Power Device ❑ R1 6. Hydroelectric Power Device Address (number and street) ❑ d 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/Drivers LicensellD/Other Number is necessary if a Homestead Deduction is being filed.) ignature of Bu r Signature of Buyer 2/Spouse Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Evan L. Elpers 7/10/2026 Allison N. Elpers 7/10/2026 ��_ast5 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:q —606c( XA1OL; t&5—t SSN:. ,L'V 0 L; Page 3