Homestead_LameyINDIANA SALES DISCLOSURE FORM SDF ID: Pane 2
D.FREPARER
Dan L. Reeves Attorney
Preparerof the Sales Disclosure Form Title
116 S. Main St. REEVES & COCHREN
Addres(Numberand Street) Company
Princeton. IN 47670
Email
E. SELLER(S)/GRANTOR(S)
Aaron Enternrises- Inc
Seller 1 - Name asappears on conveyance document
5101 Kleitz Rd-
Seller2 - Name as appears on coneeyance document
Address (Numberand Street)
Evansville. IN 47720
Address (Number and Street)
Ciry. Stare, and ZJP Code
City, State, and ZIP Code
Email
Telephone Number E -mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and completer yaw, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
namre Sel
o ler Signature of Seller
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Printed Nameo Seller Sian Date MM DD Footed Nameo Seller Sian Dare CMm /DD
F. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY
Alma L. Lamev
Boyer 1 - Name osoppesrs on conveyance document
Buyer 2 -Name as appears on conveyance document
500 S 9th Ave
Add. (Number and Street)
Address (Number and Street)
Haubstadt. M 47639
Ciry• State, and ZIP Code
City, Smte, and ZIP Cade
Email
Telephone Number Email
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YTS NO CONDITION I Y NO CO \01710\
❑✓ ❑ 1. Will this property be the buyer's primary
✓ ❑ 3. Homeste
residence? Provide complete address of primary
V 4. Solar Energy Heating /Cooling System
residence, including county:
❑ ❑ S.lNind Power Device
500 S. 9th Ave
❑ M 6. Hydroelectric Power Device
Address (Number and Street)
Haubstadt IN 47639 Gibson
❑ EJ 7• Geothermal Energy Heating /Cooling Device
❑ ❑✓ 8. Is this property a residential rental property?
City State ZIP Cade County
❑/ ❑ 2. Does the buyer have homestead in Indiana to be
a
vacated for this residence? If yes, provide
❑ ❑✓ 9. Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
below. Please see instructions for more information.
525 W. 1200 S
Not available in all counties.)
_1ry�
Alma L. Lamey CX (o'G� 3 'LJ,p oi00C).8jS-
Address (Number and Street)
Haubstadt, IN 47639 Gibson
Ciry,SmteZlPCade County
Pnmarypmperty awnercantact name E -mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knnwloJF,�; z:�, lief, is true, correct
lisclosure
and complete as required bylaw, and is prepared in accordance with IC L.., _ -n '' + i r_ - zi 4' Act ". (Note:
Spouse information, Social Security and Driver's License /Other number, Q" 'it''.?t� i_`'�- ti_ad Deduction is
being filed.);;
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SgnatureafBuyerl
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Footed Legal Name ofBuyer7 $ (wM /D/rYYY) Punted Lrj ` �.q h "}� Slgn Date (MM /OD/YYYYf
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Lost digits ofBuyerlDriver's State La
Lost Digits ofSaciDl Security Number stSdu /� s n- -r1t '�- `.,ItSDigitsofSocialSecurity
License /I0/0ther Number Number:'
7