HomeMy WebLinkAboutHomestead_Lovoy-1. PREPARER
'reparer of the Sales Disclosure Form
Title
Oatthew Jarvis
Escrow Officer
;ompany
E-mail address
Telephone number
Southwestern Indiana Land Title
matt@swinland.com
(812) 425-0055
4ddress (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 cGayeyance document
Daniel K. Flaherty by Jon Flaherty, his attorney -in -fact
Address (number and street)
•Address (number and street)
7000 E 500 N
City, State and ZIP Code
City, State and ZIP Code
4A 0'
Patoka, IN 47666
Country
Country
United States of America
4�_
Email Address
Number
Email Address ON co�N44UO/'r'
one Number
�TTeppleahone
Under penalties of perjury, 1 hereby certify 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.
Siggaturf eller
y
Signature of Seller
Printed Name of Sel r
Date Signed (mm/dd/
Printed Name of Seller Date Signed (mm/dd/yyyy)
Daniel K. Flaherty by Jon Flaherty, his
yyyy)
attorney -in -fact
6/26/2026
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
Kyle Lovoy
Elissa Danyalle Wood
Address (number and street)
Address (number and street)
824 Rainwood Lodge Road
824 Rainwood Lodge Road
City, State and ZIP Code
City, State and ZIP Code
Quinton, AL 35130
Ouinton, AI. 35130^
Country
Country
United States ofAmerica
United States ofAmerica
Email Address
Telephone Number
Email Address
Telephone Number
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
IQ ❑ 1. Will this property be the buyers s rims residence?
0 ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑ 0 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ 0 5. Wind Power Device
❑ 0 6. Hydroelectric Power Device
Address (number and street)
0 Q 7. Geothermal Energy Heating or Cooling Device
9� _ 0� _3a�
City, State, and ZIP Code County
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
-knowingly and intentionally falsifies the value of transferred real
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who
or omits or falsifies any information required to be provided, commits a Level 5 felony..(Note: Both spouse's information, SSN/Driver's
property,
License/ID/Other Number is necessary if a Homestead Deduction is being filed.)
Signature of Buyer 1 j► Signature of Buyer 2/Spouse o
Printed Legal Name of Buyer 1 Sign DAlaxhate (N DNY)
Printed Legal -Name of Buyer 2/Spouse Sign Date (MM/D
Kyle Lovoy 6/26/2026
Elissa Danyalle Wood 6/26/2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
SSN:
i SSN:
Page 3
H. PREPARER
Preparer of the Sales Disclosure Form
Title
Matthew Jarvis
Escrow Officer
Company
E-mail address
Telephone number
Southwestern Indiana Land Title
matt@swinland.com
(812) 425-0055
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. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as it appears on conveyance document
Daniel K. Flaherty by Jon Flaherty, his attorney -in -fact
Address (number and street)
Address (number and street)
7000 E 500 N
City, State and ZIP Code
City, State and ZIP Code
Patoka, IN 47666
Country
Country
United States of America
Email Address
Telephone Number
Email Address
Telephone Number
Under penalties of perjury, 1 hereby certify 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.
Signature of Seller
&Vjlowa; Palw-,
Signature of Seller
'��
Printed Name of Seller
Date Sign - mm/dd/
Printed Name of Seller Date Signed (mm/dd/yyyy)
Daniel K. Flaherty by Jon Flaherty, his
yyyy)
attorney -in -fact
6/26/2026
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
Kyle Lovoy
Elissa Danyalle Wood
Address (number and street)
Address (number and street)
824 Rainwood Lodge Road
824 Rainwood Lodge Road
City, State and ZIP Code
City, State and ZIP Code
Quinton, AL 35130
Quinton, AL 35130
Country
Country
United States of America
United States of America
Email Address
Telephone Number
Email Address
Tee hone N�j be jr ' I
*1
Ole)
1
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION
YES NO CONDITION
❑ 1. Will this property be the buyer's primary residence?
❑ 3. Homestead
❑ Q 4. Solar Energy Heating or Cooling System
❑ 0 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ 2 5. Wind Power Device
❑ 0 6. Hydroelectric Power Device
Address (number and street)
❑ a 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
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/Drivers
License/ID/Other Number is necessary if a H
9fl7estead Deduction is being filed.)
ignature of Buyer ®
Si na ure,of Buyer 2/Sp se
�� �('
Printed Legal Name o yer 1 Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Sp4e Sign Date (MM/DD/YY)
Kyle Lovoy 6/26/2026
Elissa Danyalle Wood 6/26/2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
Last 5 Digits of Buye 2/Spouse SSN/Driver's Licentts��e/ID/Other Number
SN: -23 G. c9_3 L ._ �7
SSN: L �� LI: a2
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