HomeMy WebLinkAboutHomestead_Whitehouse (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
Estate of Kevin Marchal, also known as Kevin J. Marchal
Address (number and street)
Address (number and street)
4984 E 200 N
City, State and ZIP Code
City, State and ZIP Code
Princeton, IN 47670
Country
Country
United States of America
Email Address
Telephone Neu�%"�ber
i_ Cdt�(�Li'U���
Email Address
Telephone Number
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 o, falsifies any information required to be provided, commits a Level 5 felony.
Sign, ture of Sellep
Signature of Seller
Printed Name of Seller
Date' Signed (mm/dd/
Printed Name of Seller Date Signed (mm/dd/yyyy)
Sarah Marchal, Personal Represntative
yyyy)
8/11 /2026
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT AP
Buyer 1 — Name as it appears on conveyance document
Buyer 2 — Name as it appears o o eya e ment
Levi Whitehouse
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Address (number and street)
Address (number and street4//,, %
4984 E 200 N
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City, State and ZIP Code
City, State and ZIP
Princeton, IN 47670-
Country
Country
United States of America
Email Address ,�
TelephoneNumber
Email Address R
Telephone Number
_ice Cs/ / L
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 ❑ . Will this property be the buyer's primary residence?
Q ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑19 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ 21 5. Wind Power Device
❑ 0 6. Hydroelectric Power Device
Address (number and street)
❑ RI 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
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Z>� �� ®— � � � � �.52 -cb
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
LicenseAD/Other Number is necessaryi omestead Deduction is being filed.)
Signature of Buyer 1 Y� '/
Signature of Buyer 2/Spouse
Printed Lega me of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Levi Whitehouse 8/11/2026
ALast 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: :5- 7/ 29 ZA L
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