HomeMy WebLinkAboutHomestead_Harpe (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. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as it appears on conveyance document
Harlee M. Harpe
Address (number and street)
Address (number and street)
605 E Locust St.
City, State and ZIP Code
City, State and ZIP Code
Fort Branch, IN 47670
Country
Country
United States of America
Email Address
1,Telephone Number
Email Address
Telephone Number
Under penalties of perjury, 1 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 transferredreal property, or
omits or falsifies any information required to be provided, commits a Level 5 felony.
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Signature of Seller
Printed Name of Seller
Date Signed (mm/dd/
Printed Name of Seller Date Signed (mm/dd/yyyy)
Harlee M. Harpe
yyyy)
10/6/2026
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
Ryan M. Harpe
Address (number and street)
Address (number and street-'1
605 E Locust St
City, State and ZIP Code
City, State and ZIP Code 11
Fort Branch, IN 47648
Country
United States
Country , 6 2026
of America
Email Address
Telephone Number
Email Address
Telephone Number
(812) 664-6605
Gigs
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify a i Ss y:
YES NO CONDITION
YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary residence?
Q ❑ 3. Homestead
❑ ❑ 4. Solar Energy Heating or Cooling System
❑ 0 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ Q 5. Wind Power Device
❑ LI 6. Hydroelectric Power Device
Address (number and street)
❑ 10 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
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Q1 -In �- Q•'3 -cob —®oiCD
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 Med.)
Sign re of B 1
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)
Ryan M. Harpe 10/6/2026
Last 5 Digits( �of Buyer 1 SSN/Driver's License/ID/Other Number
SSN: Gj /f�
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
_;/Y
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