Homestead_Lucas (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Cesar_Berrios Closing Services
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd. Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
Ciry,State,and ZIP Code Telephone Number E-mail
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E.SELLER(S)/GRANTOR(S)
Carol Steele
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
562 Barn Ln
Address(Number and Street) Address(Number and Street)
Princeton. IN 47670
Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp a as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Carol Steele 02/14/2014
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller ion Date(MM/oDM'YYI
F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIF L E5 'F 7t�1'i ?
enneth Dean Lucas
' buyerTName as appears on conveyance document Buyer?-Name as appears on con[9prpye&flu to 14
206 S.Alexander I CD 1 L
Address(Number and Street) Address(Number and Street)
Carlisle, IN 47838 __ n hM
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
1 ❑ 1.Will this property be the buyer's primary CM/ ❑ 3. El omeste'
residence? Provide complete address of primary ❑ / 4.Solar-Energy Heating/Cooling System
residence,including county: ❑
425 S 325 W S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 151 7.Geothermal Energy Heating/Cooling Device
City,State ZlPCade County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? Ilyes,provide ❑ 0 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.
Not available in all counties.)
Address(Number and Street)
a (P '//- 15tjoo - 003. -77.. - D0L7
Ciry,State ZIP Code County