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Homestead_Larkins (3)
H. PREPARER Preparer of the Sales Disclosure Form This Diana Rich Title Administrator Company Address(nurinber and street,sly,state,may.and ZIP Coda) 20 NW First Street,Suite 100,Evansville,IN 47708 I.SELLER(S)!GRANTOR(s) Seiler 1-Name es It appears on conveyance document Seger 2-Name as appears on c�ruv Chad D.Lukeman Address(number and street) Address(ember and street) 9770 West Winyard Place ,1� ��JJ City,state,and ZIP Code City,Mate,and ZIP Code f BAR 0 Oweneville,IN 47685 ( ' 2O, Country Country C7-2) USA USA G/E) _ �, E-mail address cv ,TO'� Under penalties of perjury,I hereby certify this sides Disclosure,to the best of my knowledge and belief,Is true,correct aitp complete as required by law,end Is prepared In accordance with IC 6-1.1-8,11.A person who knowingly and Intentionally falsifies the value of transferred real propel,or omits falsifies any Information required to be provided,commits a Level 5 felony. me ' _.../... ........._..... S gnalre of Beier • i I.- Name Date signed(mrnfddyyyy) Printed Name of Seller Date signed(rr nlddlyyyy) Chad D.Lukeman ,9-a- D.3 _ _ J. BUYER(S)IGRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1-Name as It appears on conveyance document Buyer 2-Naive as fi appears en conveyance document Caleb R.Lankins Joseph Coleman (non °ea. Address(number end steep Address(number end aired) ,,t(1�'1lW 10833 W 800 S 2004 Bayard Park Dr V nf)+v City.stale,and ZIP Code City,state,and ZIP Code Oweriavtlle,IN 47665 Evansville,IN 47714 Country Country USA USA E-mail address apply for certain deductions.Identify ail of those that apply: YES NO CONDITION YES NO CONDITION 1.WI this property be the buyers primary El 0 3. Homestead © ❑ residence? ❑ © 4.Solar Energy Heating or Cooling System RI 2.Does the buyer have a homestead to be vacated 0 © 8.Wind Power Device ❑ for this residence?If yes,provide address: D GI 8.Hydroelectric Power Device Address(number end street) ❑ p 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and sooty %-0-- 0q-200- 0OLI-q A- del• . Under penalties of perjury,I hereby certify that this salon 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 6-1.14.41.A person who knowingly and intentionally falsifies the value of Page 3 orb C , 4 ., •�Y. ..,