Homestead_Straw (8) H. PREPARER
.Preparerof the Sales Disclosure Form Title
Scott Morris Escrow Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave, Suite 102, Evansville, IN 47714
L. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Dale Zheng Rong Lu
Address(number and street) Address(number and street)
City,State,and ZIP Code City,State,and ZIP Code
1 Pr��.c eaor -r N LZ 19� u
0 Yc-tnQA-ork TNl--i6-1O
Country Country
1}SAl t Cibs�t-. 105Ai 1 b C' on
Email Address
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.
�ignat re of altar yg-i4tliray of eller
Printed Name of Sell Date Signed(mm/dd/yyyy) Punted Na of SkTler/ Date Signed(mmlddlyyyy)
Dale Zheng Rong Lu
J. BUYER(S)/GRANTEE(s)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDEN LL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears c n y ce d ment ,
LaDonna J Straw
Address(number and str et) Address(number and street) 41).
_tst a 8 k.L . nec so<1 MAY
COI Stale,and ZIP Code City,State,and ZIP Code
\ �N Q.Qe. o 1 n -1W-10 �, 5 4023
•
Country Country
Email Address `I 1 ',7 fi
apply for certain deductions.Identify all of those that apply;
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary W 0 3.Homestead
residence? 0 p 4.Solar Energy Heating or Cooling System
)
❑ ' / 2.Does the buyer have a homestead to be vacated 0 I 5.Wind Power Device
9 for this residence? If yes,provide address: 0 p 6. Hydroelectric Power Device
Address(number and street) 0 p 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
a6 -12 -0T -(03 -opt 1-1140- 022 .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete
a
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