Homestead_Lancaster H. PREPARER
4
Preparer of the Sales Disclosure Form Title
Amanda Daly ___ _ _ _ ___ _ Settlement Agent
Company
Address(number and street,city.state,country.and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S) --
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on co ocun
Michael L.Spence 111111 —
Address(number and street) Address(number and street)
405 E Clark Street MAY 2 3 20�2
City.state.and ZIP Code City.state.and ZIP Code
Owensville,IN 47665 f„, d. ,t4 j pet)
Country Country GIBSON COUNTY AUDITOR '
US
( )
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.
S. of Seller Signature of Seller
rin ame site Date signed(mm/ddlyyyy) Printed Name of Seller Date signed(mmfdd/yyyy)
Michael L.Spence 05/17/2022 05/17/2022
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 it appears on conveyance document
Teresa Lancaster
Address(number and street) Address(number and street)
P.O.Box 781 - --
City.state.and ZIP Code City,state,and ZIP Code
Cadiz,KY 42211
Country
Country
US
apply for certain deductions_Identify all of those that apply:
YES NO CONDITION rYES NO CONDITION 1.Will this property be the buyer's primary I A 0 3. Homestead
residence? Q Q 4.Solar Energy Heating or Cooling System
a2. Does the buyer have a homestead to be vacated 0 a 5.Wind Power Device
for this residence?If yes,provide address: 0 (2 6.Hydroelectric Power Device
Address(number and street) Q Q 7.Geothermal Energy Heating or Cooling Device
City.state.ZIP code,and county of-kp-01-`O1 -000 .244- -0 22
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