Homestead_Carey (4) H. PREPARER
Preparer of the Sales Disclosure Form Title
Amy Perkins Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715 9
I. SELLER(S)iGRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Gary W.Davis David W.Davis
Address(number and street) Address(number and street)
6121 Cambridge Ave. 104 W.Spruce St.
City,State,and ZIP Code City,State.and ZIP Code
Cincinnati,OH 45230 Princeton,IN 47670
Gauntry Country
US US
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 ff 1sl1es any information required to be provided,commits a Level 5 felony.
Signature of eller ') Sffiapre,o Jllerl
Prinie aMe of Se rr)t/ Date Signed(mmldd/yyyy.) Printed Name of Seller Date Signed(mrr/dd/yyyy)
Gary W.Davis 10/09/2024 David W.Davis ` 10/09/2024
J. BUYER(S)iGRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY P
Buyer 1—Name as It appears on conveyance document Buyer 2—Name as it appears once document
Natalie Carey
Address(number and street) Address(number and street)
1512 Hurst Circle -4S&
City,State,and ZIP Code City,State,and ZIP Code Or) O E1
Princeton,IN 47670 t•/ / �`� JJ
Country Country 9^
US • G'. J
apply for certain deductions.IdeniTjyr those that apply:
YES NO CONDITION YES NO CONDITION 6
/7.- .
® 1.Will this property be the buyer's primary CD 0 3.Homestead
residence? 0 (N 4.Solar Energy Heating or Cooling System
0 X.
( 2.Does the buyer have a homestead to be vacated 0 0 5.Wind Power Device
J \ for this residence?If yes,provide address: 0 IN 6. Hydroelectric Power Device
Address(number and street) 0 t 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County % 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 and intentionally falsifies the value of
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