Homestead_Lara t
H. PREPARER
Preparer of!impales DisoNsur rrn Title
Lonity I) fri
Company
Address(number and street.city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
1. SELLER(S)(GRANTOR(S) . .
Seller 1—Name ash appears on conveyance document Seller 2—Name as appears on conveyance document
Gilbert Lara
Address(number and street) Address(number and street)
902 E Ohio Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton,IN 47670
Country Country
US
1 )
... . , . ..._ .. . .
Under penalties of perjury.I hereby certify 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.
Signature of Seller Signature of Seller
Printed Name of Seller Date signed(mmickityyyy) Printed Name of Seller ' Date signed(mmiddiyyyy)
Gilbert Lara 12/20/2021 - 12/20/2021
J. BUYER(S)!GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDEtor T LLEP -It
Buyer 1—Name as it appears on conveyance document Buyer 2-Name as it appears nv.eti EP
Hannah Renee Lara
Address(number andplreet) Address(number and street) I-EB 0 8 ZUZZ
01-1464.
City,state,arid ZIP Code City.state,and ZIP Code AAGA / i-''.
Vf;Ace-toe 1 GIPF.^7' ::70N.:'. _
Country Country
US
( )
Pursuant to IC 61.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
Is( a 1.Wilt this property be the buyer's primary X 0 3.Homestead
residence? CI .IFJ 4.Solar Energy Heating or Cooling System
1:ac 2.Does the buyer have a homestead to be vacated 0 IX? 6 Wind Power Device
0 for this residence?If yes,provide address: 0 Mt. 6.Hydroelectric Power Device
Address(number and street) 0 (V 7.Geothermal Energy Heating or Cooling Device
City,state,arid ZIP Code County
.6-1)
- 1 _ 11-10 3-004 .2(4 2. -0 2-k •
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