HomeMy WebLinkAboutHomestead_LagowH. PREPARER
Nreparer 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
Elite Companies, Inc., an Indiana Corporation
Address (number and street)
Address (number and street)
304 E SR 68
City, State and ZIP Code
City, State and ZIP Code
Haubstadt, IN 47639
Country
Ilk ly
United States of America
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Email Address Telephone Number dr Telephone Number
EEmail
dona@reinbrechthomes.com S� �m UIo 03-7 o�Co
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and @��(ief,is true, correct, a d complete as required
by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly intentionally �fi' I
and Pies the val e ofitr ferred real property, or
omits or falsifies any information required to be provided, commits a Level 5 felony.
,ySaa#tare Se}fer-
Signature of Seller
O
Printed Name of Seller Date Signed (mm/dd/
Phillip Reinbrecht, President yyyy)
Printed Name of Sel e gso 7t��m/dd/yyyy)
G`
7/29/2026
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
Landon M. Lagow
Alexandria F. Isaac
Address (number and street)
Address (number and street)
1129 Oak St
1608 Pinehurst Ave
City, State and ZIP Code
City, State and ZIP Code
Mount Carmel, IL 62863
Mount Carmel, IL 62863
Country
Country
United States of America
United States of America
Email Address
landonlagow383@icloud.com
Telephone Number
(618) 262-3480
Email Address
aisaacl114@yahoo.com
Telephone Number
(618) 263-8215
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
Q ❑ 1. Will this property be the buyer's primary residence?
Q ❑ 3. Homestead
❑ Q 4. Solar Energy Heating or Cooling System
❑ Q 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ Q 5. Wind Power Device
❑ 21 6. Hydroelectric Power Device
Address (number and street)
❑ Q 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
S-0 I m
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, i,f�a�Homestead Deduction is being filed.)
ig r ,of l3u er 1
@cT9tare/o Bu� /Spause
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Printed Legal Name of Buyer 1 Sign Dal' ' (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Landon M. Lagow 7/29/2026
Alexandria F. Isaac 7/29/2026
Fat 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
N: (/!� ` T L3U —LA t%S
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
SSN: I
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L Q's A —
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