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Homestead_Lamey (27)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Christina Latham Title Clerk Preparer of the Sales Disclosure Form Title 4703 Theatre Drive Regional Land Title Address(Number and Street) Company Evansville, IN 47715 E-mail E.SELLER(S)/GRANTOR(S) •Patrick D Meyer Dana.1 Meyer Seller 1 Nw a as rai s.Tc vcya ie document Seller 2-Nume as appears on conveyance document • "...'al X 4' 9 W. Jrg06,5„ Address(No the and Street) Address(Number and Street) )}4 ST4O ', _TN. Y'76\3, City,State,a dZIPCode ' E-mail ^ Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and bell ,is true,correct a,:iinmplete s required by law,and is prepared in accordance wi IC 6-1.1-5. "Re 9leSDi losure Act". p CO:/. Sigr nature ofSeller J�j Signature of Stale Patrick D Meyer I 1 `J S-4 / Dana J, Meye i!-9 S`1 / Printed Name o Seller Sign Date(MM/DD/Mr) Printed Name of Seller Sign Date(MM/OWYYY) cF YER(S)/G S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY T rry Joe Lamey u Na on veyance document Buyer 2-Name as appears on conveyance document ©A . a a 5 Address(Number and Street Address(Number and Street) !'l it6s 2-4/ '19639 City,State,and ZIP Code City,State,and ZIP Code E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP : a. : - • i F THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 1 ❑ 1.Will this property be the buyer's primary [] ❑ 3.Homestead FILED residence? Provide complete address of primary Ems, s----- - a, 'eating/Cooling ste residence,including county: !Dec 02 2019 ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device ❑ 7 7.Geothermal Energy Heati4BBOilie@UldiMAUDITOR CB City,St e ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Z 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-m ' ? e s Ct information including county: below.P se see instructions for more r otion. I 0 0 a W 't 6 0 5,e-1'1i No vailable in all counties) A litre (Num Brand Street) . -�" (--- + 1 Terry Joe Lame 26-22-13-200-001. 405-024 City.State ZIP Code County Primary property ow contact name E-mail ` Number License/ID/Other Number