Homestead_Houchin (4) H. PREPARER
Preparer of the Sales Disclosure Form Title
Kandace Rogers Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
`Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Gabrielle Mae West Hoyt Maday
Address(number and street) Address(number and street) -
C-,-1 Lk 'S ck 61 1 g t- y K) Ce 4-. 000, 0i q no ut
CTt §late.and ZIP Code City Slate,and ZIP Code
P- . c s K) �\ f SIP1 l'\ C\,1r}..v �.11 �(�
Country Country
USA USA
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 any information required to be provided,commits a Level 5 felony.
dal re of Seller Signature a Seller
� ' ' CS i4 ., 2 e ,,,-f/'
Printed me of.Seller Date Signed(mm7dd/yyyy) Printed ame of Seller Date Signed(mm/dd/yyyy)
' bra ielle Aae West 2/3/2025 Hoyt Maday 2
J. BUUYYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFYFLL H TAP
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance documen
Dewayne Houchin Barbara Houchin
Address(number and street) Address(number and street) FEB 0.5 2025
1014 North Main Street 1014 North Main Street
City,State,and ZIP Code City,State,and ZIP Code '
Oakland City, IN 47660 Oakland City, IN 47660 Ae -� /� J f
Country Country. GIBSON COUNTY
USA USA AUDITOR
1.Will this property be the buyer's primary ❑X ❑ 3.Homestead :,—`_
0 ❑ residence'? ❑ 0 4.Solar Energy Heating or',o.,na, u.-
2.Does the buyer have a homestead to be vacated E ❑X 5.Wind Power Device •_ .*
Afr,
for this residence?If yes,provide address: ❑ El 6. Hydroelectric Power Device
•
Address(number and street) ❑ 0 7. Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County
(a— i l—18 - I 02.-000,2 s l -Oa*
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
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