Homestead_Oliver (2) rHP. REPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLER(S)IGRANTOR(S) -
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on co eyance document
Southern Indiana Home Investments LLC
Address(number and street) Address(number and street) �,'
2836 S 300 West
City,State,and ZIP Code City,State,and ZIP Cade
Washington, IN 47501 40G
Country Country /
E-mail Address
person who knowingly and Intentional�e value of transferred
reel •• •party,or omits ••r falsifies any information required to be provided,commits a Level 5 felony. OR
Sig . -tt I- Signature of Seller
I..i'-1,l ny ,
-r if a"5:' 1—1 Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mmldd/yyyy)
An •ny L gacher,Sole ember July 29, 2024 July 29, 2024
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
Christian Oliver Dana Oliver
Address(number and street) Address(number and street)
315 W Columbia Street 315 W Columbia Street ,
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660
Country Country _
YES NO CONDITION t YES NO CONDITION
1.Will this property be the buyer's primary Er ❑ 3. Homestead
❑ residence? ❑ 3' 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 Er 5.Wind Power Device
❑ for this residence? If yes,provide address: 0 (j` 6.Hydroelectric Power Device
Address(number and street) ❑ j 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County _2-6 14- . -3c�Z- 000. I 4 3 _Q 04
I 9 'I
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 end 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
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