HomeMy WebLinkAboutHomestead_Green H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew 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 a
Logan D. Davis ppears on conveyance document
Address (number and street) Address (number and st eet)
508 N. Main St.
City, State and ZIP Code City, State and ZIP C
Patoka, IN 47666 1.44
Country
Country United States of America M -6
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Email Address
G/Q 16 1.11/
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge�t�
by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentional) ' is truvaluerect of t, and complete as ransferred real prope ty, ord
omits or falsifies any information required to be provided, commits a Level 5 felony. ` ,
ign Ure of Se ��'< �iL
,
0,4
ed Name of Seller -\---) c'-----
Date Signed (mmld Signature of Seller
d/ Printed Name of Seller
Logan D. Davis Date Signed (mm/dd/yyyy)
YYYY)
2/26/2026
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
Cicily A. J. Green Rebecca L. Green
Address (number and street) Address (number and street)
709 S. Race St. 709 S. Race St.
City, State and ZIP Code
City, State and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
United States of America United States of America
coi Email Address
be used to apply for certain deductions. Identify all of those that apply:
1'1 YES NO CONDITION YES NO CONDITION
0 1. Will this property be the buyer's primary residence? EI ❑ 3. Homestead
8 i L 2. Does the buyer have a homestead to be vacated for ❑ 4. Solar EnergyHeating
o at ng or Cooling System
A this residence? If yes, provide address: 0 El 5. Wind Power Device
0
Address number and eet) O 0 6. Hydroelectric Power Device
r it 70 S az e h , 0 . 7. Geothermal Energy Heating or CoolingDevice
O ;
City, State, and ZIP Code County I
TAl Li -7‘ .-// C 7 1 b5011 1 . '0 - V- c3c), -606 , &6 - 6 car)
( r 1 ri (elm, -4._ ' : iz i ;
1 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 be 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.)
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