Homestead_Glovier H. PREPARER
Preparer of the Sales Disclosure Form Title
Megan Boger Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance docu �
C. Michael Durbin Varoncia L. Durbin
Address(number and street) Address(number and street)
f L lerl1LSo1, 0 r- Al?iinvson 0r',
ii '
City,state,and ZIP ode City,state,and ZIP Code
0056Cifie) KY 1fa303 E)idey6bcc7I k-(-? &3c3
Country Country
US US
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 I
real property,or omits or fxrfies any Information required to be provided,commits a Level 5 felony.
S'rdn of Sal r nature of Seller l� ('�
�� reit)1�l,Ctzt g_ �J11-11afair
Printed'Name of Sel er v Date signed(mm/ddfyyy) Printed Name of Seller Date signed(mmldd/yyyy)
C. Michael Durbin 05/23/2024 Varoncia L. Durbin 05/23/2024
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document juyer,2l-,Name as it apears o conveyance document
David Glovier 'C(.� : let 1 e- 6, L-.1 Ql/I e-V __
Address(number and street) Address(number and street)
1544 Bay Point Drive 1544 Bay Point Drive
City,state,and ZIP Code City,state,and ZIP Code
Virginia Beach, VA 23454-1407 Virginia Beach, VA 23454-1407
Country Country
US US
YES NO CONDITION YES NO CONDITION
O 0 1.Will this property belpi is primary O D 3. Homestead
residence? ((( "' 0 0 4.Solar Energy Heating or Cooling System
0 2. Does the buyer have a ho stea o vacated 0 O 5.Wind Power Device
for this residence? IV,provide r s. D p 6.Hydroelectric Power Device
Address(number and stre, "'77 ytie 0 0 7.Geothermal Energy Heating or Cooling Device
ci,
City,state,ZIP code,and •ri•' _ 7 ` /� 26- -ZZ.-1 Z- 3 00^ 002- 3� - 0 2-4
Co, v
.
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Foreman Watson Land Title, LLC
7412 Eagle Crest Blvd
Cvansville, IN 47715