HomeMy WebLinkAboutHomestead_Ploch H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbigail Jarvis Escrow Officer
Company
Address (number and street, city. state. country. and ZIP code)
605 SE Martin Luther King Jr Boulevard. Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it appears on conveyance document
Davenport Properties. LLC, an Indiana limited liability company
Address (number and street) Address (number and street)
7872538E
'''Pl _ --__....
City. State and ZIP Code City. State and ZIP Code -4,4i.1
Ft. Branch. IN 47648
€0
Country Country
United States of America ,�
Email Address
knowledge and belief, is., ct, 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 46 ransferred real property, or
omits or falsifies any information required to he provided. commits a Level 5 felony. Oh,
gnature ot,Seller Signature of Seller
Printed Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mm/ddlyyyy)
George Benson Davenport, Managing 9/3/2025
Member
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
Travis R. Ploch Ryan N. Ploch
Address (number and street) Address (number and street)
3106 Mount Vernon Ave. 3106 Mount Vernon Ave.
City, State and ZIP Code City. State and ZIP Code
Evansville, IN 47712 Evansville, IN 47712
Country Country
United States of America United States of America
YES NO CONDITION YES NO CONDITION l
D 0 1. Will this property be the buyer's primary residence? 0 0 3. Homestead
0 ❑ 2. Does the buyer have a homestead to be vacated for this El4. Solar Energy Heating or Coolin sP we
dip
residence? If yes, provide address ❑ El 5. Wind Power Device
Address (number and street) ElEl 6. Hydroelectric Power Device
if
3106 Mount Vernon Ave ❑ LO 7. Geothermal Energy Heating or Cooling Device
City. State, and ZIP Code County n
Evansville IN 47712 Vanderburgh ►,k- \II- - n - 2,0 L-) - Coo. 4 L a2Z--
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 transferred real
property, or omits or falsifies any information required to he provided, commits a Level 5 felony. (Note: Both spouse's information, SSN/Driver's
License/ID/Other Number is necessary if a Homestead Deduction is being filed.)