Homestead_Hoover (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2019 Page 2
D. PREPARER
Amy Pollard Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
City, State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Glen E. Davis,Jr. Cynthia A. Davis
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4401 S Taleia Dr 4401 S Taleia Dr
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 Oakland City, IN 47660
correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". r
1 a Ta- 2510 Si-k Q n P<77 ' mg." 3C0q- �C9 _A �L P fz-% -� 4-4,(A__,0Signature of Seller v - Signature of Seller
Glen E. Davis,Jr. E( (Z! 120 ( Cynthia A. Davis • - . I("Z'Z ('ot 9
Printed Name of Seller Sign Date(MM/DD/YYYY)—--Printed-Name-of Seller Sign'Date(MM/DD/YYYY)
,F./BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DE UCD T OI NS=IDENTIF-Y_ALL ITEMS THAT APPLY'''-*,,,
// ----J
Matthew S. Hoover Jennifer A. Hoover \`
i Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document \\
9943E7005 9943E700S lI1,
Address(Number and Street) Address(Number and Street)
J.
Oakland City, IN 47660 Oakland City, IN 47660 1 \\
CO,Stale,and ZIP Code it St te,and ZIP Code 4' ,r
(
1i--_3._Homestead—esO74/ _ ' _ — --
residence? Provide complete address of primary ,u c �`
residence, including county: 4. Solar Energy Heating&6ji e�`
4401 S Taleia Dr. _ 0 '�i. • Wind Power Device r l L4/T
Address(Number and Street) —. 0 `, 6. Hydroelectric Power Device OR
— — — "' -❑—_C_ 7 Geothermal-Ener Heatin /Conlin Device
Oakland City, IN 47660 _ .-_:_ gy- _ g g
Y I . . ._. Gibson.--
ity,Stat IP Code County 0 �� 8. Is"this property a residential rental property?
7 2. Does the buyer have a homestead in Indiana to be 0 • 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
ddress of resi nce being vacated, including county: below. Please see instructions for more information.
45 - Not available in all counties.)
1;r: Number and et)Oppi ' N
City, State ZIP Code I G , _cD_u___,- 1 .... t_k_ t_ks:00.J300 . _00(3,-Primary property owner contact name:- E-mair-
_ - -�
-�— - -