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HomeMy WebLinkAboutHomestead_SloanH. 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 Oakland City University Inc., an Indiana Nonprofit Corporation Address (number and street) Address (number and street) 138 N Lucretia City, State and ZIP Code City, State and ZIP Code Oaklande City, IN 47660 Country Country United States of America Email Address Telephone Number Email Address Telephone Number Under penalties of perjury, I hereby certify this Sa es 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. gnature Signature of Seller Printed Name of Seller Date Signed (mm/dd/ Printed Name of Seller Date Signed (mm/dd/yyyy) Phillip Reinbrecht, Trustee yyyy) 8/28/2026 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 co y c doc Philip E. Sloan Address (number and street) Address (number and street) 910 W Williams St. SCR City, State and ZIP Code City, State and ZIP Code U 2026 Oakland City, IN 47660 Country United States of America Country A/ GIBgO, Co f CO Email Address Telephone Number Email Address Te bf%dFNumber 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 buyers s rima residence? '� ❑ 3. Homestead ❑ Cf 4. Solar Energy Heating or Cooling System ❑ Wo 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) ❑ 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 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.) Signature of Buyer 1 �: Signature of Buyer 2/Spouse , enc,\,w Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Philip E. Sloan 8/28/2026 Last 5 Digits of Buyer 1 SS /Driver's License/ID/Other Number N • " - 36-1 0L+0A 27.A T.I1 Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number Page 3