Homestead_Davenport H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
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
Caringhomes, LLC, an Indiana limited liability company
Address(number and street) Address (number and street) FILE D
814 West Dr.
City, State and ZIP Code City, State and ZIP Code
Oakland City, IN 47660 _ ' APR 27 2022
Country Countryet , ,���_
_United States ofAmerica c-h— , & 1�VaY6'
E-mail address E-mail address GIBBON COUNlTVI+ TB'Tamber
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 or falsifies y information required to be provided,commits a Level 5 felony.
�$Ignatur Iler Signature of Seller
Print am of el)er // Date signed(mm/dd/yyyy) Printed Name of Seller I 9 ( yyyy>
Kelly Wider Hopper, Managing Member 4/25/2022
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
Timothy Davenport
Address (number and street) Address(number and street)
430 W. Columbia St.
City, State and ZIP Code City, State and ZIP Code
Oakland City, IN 47660
Country Country
United States of America
E-mail address
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 ❑ 1. Will this property be the buyer's primary residence? 0 0 3. Homestead
0 0 4. Solar Energy Heating or Cooling System
❑ 0 2. Does the buyer have a homestead to be vacated for ❑ 0 5. Wind Power Device
this residence? If yes, provide address: ❑ 0 6. Hydroelectric Power Device
Address(number and street) ❑ )g,(, 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county - 0{ _Q0 063 _Q
Under
3