HomeMy WebLinkAboutHomestead_DavalosFH.PEPARER
of the Sales Disclosure Form
Title
Leah Brown
Settlement Agent
Company
Email Address
Telephone Number
Regional Title Services LLC
closings@regionaltitlellc.com
( 812 ) 759-5555
Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance document
Christopher R. Kidd
Address (number and street)
Address (number and street)
111 Kensington Drive
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Country
Country
US
Email Address
Telephone Number
Email Address
Telephone Number
chriskidd42@yahoo.com
( 859 ) 512-4468
( )
Under penalties of perjury, I 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.
Sig to of Seller .-
Signature of Seller
Panted Name of Seller
Date Signed (mm/dd/yyyy)
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Christopher R. Kidd
07/24/2026
07/24/2026
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — I N I ILL T PP Y
Buyer 1 — Name as it appears on conveyance document
Buyer 2 —Name as it appears on conveyance o
Na elis Davalos
Address (number and street)
Address (number and street) AUU 12
202
414 W Factory St A4
�
City, State, and ZIP Code
City, State, and ZIP Coe
Winslow, IN 47598
i
Country
Country ON CO UNTy
US
AUDITOR
Email Address
Telephone Number
Email Address
Telephone Number
nayedavalos2@gmail.com
( 812 ) 407-1128
( )
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
® O 1. Will this property be the buyer's primary
® O 3. Homestead
residence?
❑ ® 4. Solar Energy Heating or Cooling System
O ® 2. Does the buyer have a homestead to be vacated
O ® 5. Wind Power Device
for this residence? If yes, provide address:
O ® 6. Hydroelectric Power Device
❑ ® 7. Geothermal Energy Heating or Cooling Device
_ 11 _ r9_ 301 — 00(s� rJ q `� _ Oa
Address (number and street)
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 fi-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, SSA/Driver's LicensMD/Other Number is necessary only if a Homestead Deduction Is being filed.)
Signature of Buyer 1
Signature of Buyer 2/Spouse
1 i
Printed L gal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Nayelis Davalos 7/24/2026
07/24/2026
Last 5 Digits of Buyer 1 SSN/Dri er's License/ID/Other Number
I
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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