HomeMy WebLinkAboutHomestead_Reynolds 1 H. PREPARER
Preparer of the Sales Disclosure Form Title
Emily N. Tychek Title Services
Company
Address (number and street, city, state, country, and Z.IP Code)
7820 Eagle Crest Blvd Ste 201 Evansville IN 47715
I. SELLERS)/GRANTOR(S) f
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Lance A. Reynolds Lisa A. Reynolds
Address (number and street) Address (number and street)
2130 Vine Ct Apt 16 620 S. Hudson Dr.
City, state, and ZIP Code City, state, and ZIP Code
Princeton, IN 47670 Patoka, IN 47666
Country Country
USA USA
E-mail address
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 e'ler Signatur, of Seller
o f ,�.
o____ide
P.r�i-te N;rme of r I Date signed (mm/ddl'yyyy) rent Name o elle Date signed (mmldd/yyyy)
Lance A. Reynolds /, - f Lisa A. Reynolds a-//- 2.o as-
, J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL . : • •PLY
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conveyan . docu, -
Lisa A. Reynolds
Address (number and street) Address (number and street)
-1)
620 S. Hudson Dr. Oee f
City, state, and ZIP Code City, slate, and ZIP Code / 6'
Patoka, IN 47666 r _ ?Oa
Country Country 4
USA 6SOc-iA `-{
E-mail address
( 4r
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Forth may be used to apply for certain deductions. Identify all of those that apojp•vi)
YES NC CONDITION YES NO CONDITION
O 1. Will this property be the buyer's primary O 0 3. Homestead
residence? 0 Q 4. Solar Energy Heating or Cooling System
.
2. Does the buyer have a homestead to be vacated 0 O 5. Wind Power Device
u
for this residence? If yes provide address D Q 6. Hydroelectric Power Device
~Address (number and street) C) O 7. Geothermal Energy Heating or Cooling Device
City, state, ZIP code, and county , AC - 0(4 ---24, q00 - 0 ( 0 ( 02A)
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
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