Homestead_Arnold H. PREPARER
Preparer of the Sales Disdosure Form Trtle
Christina Lenfers Closing Agent
Company E-mail address
Address(number and street.city.state.country,and ZIP Code)
501 Main Street,Suite 101.Evansville,IN 47708
I.SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Daniel K Lamey • Q�LC(,Yh�
Address(number and street) Address(number a l)
748 E.1200 S. S
City,state,and ZIP Code City,state.and ZIP Code
Haubstadt,IN 47639
Country Country .
US
( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct end 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.
Sign ,re er , Signature of Seller
Print Name of Seller Dates red mm/d I /I JX
signed( d/yyyy) ' Printed Name of Sel Date signed(mm/dd/yyyy)
Daniel K Lamey 02/19/2021 (,�M. a-f(�tad
^J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDU IONS 1IDEN ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Joseph E.Amold _ TI-1 hp(d,
Address(number and street) Address(number and street ,
748 E.1200 S. S Q...
City,state,and ZiP Code City,state,and ZIP Code
Haubstadt,IN 47639
Country Country
US
Telephone number
IPursuant to IC 6.1.1.1244,the Safes Disclosure Form may be used to apply for certain deductions.identify all of those that apply:
YES NO CONDITION YES NO CONDITION 0
® 0 1.Will this property be the buyer's primary csit e 3.Homestead F7g
residence? 0 0 4.Solar Energy Heating or Cooling SysteTh m tsj
O ® 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device H
for this residence?If yes,provide address: O L9 6.Hydroelectric Power Device I t, N r
tv
o til
Address(number and street) 0 7t9 7.Geothermal Energy Heating or Coolince 0
City,state,and ZIP Code minty 26-23-08-300-002.295-024 O -
n
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