Homestead_Romans P H. REPARER
Preparer of the Sales Disclosure Form I- Title_- r'' ' , .fit'_ p. j/
Gwyn Shaw E t CW C \-C 1 \.rt
Company
Address(number and street,city,state,country,and ZIP Code)
5231 Oak Grove Road,Suite A,Evansville, IN 47715
1.SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document
Lankford Properties,LLC Seller 2-Name eon nt
Address(number p- s D ` ►)I.f
Qd Address(number ariVstrelj
state,and zipCode O MAR 21 202Z
11 i� bv) u City,state,and ZIP Code
Country Country {� `�/ a.vica4-rid)
United States of America United States o i?r Ot+ o N'TY AUDITOR
b
E-mail address
-
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 an information required to be provided,commits a Level 5 felony.
ipnature of Set.- - Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Chase Lankford d--1/I5/7_4 2-2._
J.BUYER(S)/GRANTEE(S)—APPLICATION.FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as appears on conveyance document
Nicholas Logan Romans
Address(number and street) Address(number and street)
812 E. Evans Street
City,state,and ZIP Code City.state,and ZIP Code
Princeton,IN 47670
Country Country
United States of America United States of America
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
0 3. Homestead
❑ 1.Will this property be the buyer's primary residence? ❑ 4. Solar Energy Heating or Cooling System
f El ,-„/2.Does the buyer have a homestead to be vacated for ❑ El 5.Wind Power Device -
/" this residence?If yes, provide address: 0 RI 6. Hydroelectric Power Device
Address(number and street) ❑ Q 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County . //
a4-v1 -08 -,300-000 -2.33—OZ8
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