HomeMy WebLinkAboutHomestead_Glovier H. PREPARER
Preparer of the Sales Disclosure Form Title
Megan Boger Escrow Officer
Company E-mail address Telephone number
Foreman Watson Land Title mboger@fw-lt.com (812 ) 909-4543
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
E-mail address Telephone number E-mail address Telephone number
cmichaeldurbin@gmail.com (812) 453-6416 vIdurbinl@gmail.com b Iliu S22 t,Q j I,(t.
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
E-mail address Telephone number E-mail address Telephone number
dave.glovier@gmaii.com (757) 615-2891 NA- (-Ts-1 Le I S 284'1
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
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
Under enalties of perjury,I here 'ip • at this Sales Disc osure,to the best of my knowledge and belief,is true,correct and complete
as requir d by la and is prepared i ce with 1C 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of
transferred re ro ertymits r fal ' information required to pr ided,commits a Level 5 felony.(Note:Both spouse's
informatign, SN/D ive,5 Liten DI they is necessary if a Ho estead eduction is being filed.)
Signature e-uyer- ,__,,' ci f j _,Slgr,a r of B yey r 2/Spouse r
..______)
`Printed Legal Name oft-Buyer 1 Sign Date(M /DD/YY) Printed 1Leegal Name of Buyer 2/Spouse Sign Da a t✓f/DD/YY)
David Glovier 5 11-1 2�1 RV Gki P 1 L R. C`r I,ovl e K -I),.. ( i-i lasi
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
1 Last 5 of SSN: 37917 Last 5 of SSN: 60838 .
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Foreman Watson Land Title, LLC
7412 Eagle Crest Blvd
Cvansville, IN 47715