HomeMy WebLinkAboutHomestead_Wethington H. PREPARER
Preparer of the Sales Disclosure Form Title
Seth D Haley In-House Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
215 Main St, Lynnville, IN 47619
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
LNB Community Bank
Address(number and street) Address(number and street)
PO Box 126
City,State,and ZIP Code City,State,and ZIP Code
Lynnville, IN 47619 /U
Country Country 46'
04, Q ( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and bedF14fj j e,correct and mplete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionall"yq the va a sferred
real property,or omits or falsifies •ny information required t be provided,
iit Seller Level
5 felony. O/r0�9 /
Si; cure of:�er_ f .� Signature
- Re3 CEO
Printed Nam- o /er Datetigned(mm/dd/yyyy) Printed Name of Seller Date Sigbea( dd/yyyy)
LNB Community Bank 07/14/2023
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
Kohyn Avery Wethington
Address(number and street) Address(number and street)
102 N 4th St
City,State,and ZIP Code City,State,and ZIP Code
Francisco, IN 47649
Country Country
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary ❑✓ ❑ 3. Homestead
❑ residence? ❑ ❑✓ 4. Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated ❑ ❑✓ 5.Wind Power Device
❑ ❑✓ for this residence? If yes, provide address:
❑ ❑✓ 6. Hydroelectric Power Device
Address(number and street) ❑✓ 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County C)/ -302-000 121 -0 0-�