HomeMy WebLinkAboutHomestead_Lapray H. PREPARER -
Preparer of the Sales Disclosure Form Title
Jeffrey H. Bosse Settlement Agent
Company
2301 N.Burkhardt Road,Evansville,IN 47715
I. SELLERS)/GRANTOR(S) ,O
Setter 1-Name as It appears on conveyance document Seller -Name as ap e rs i uiveyance document
Rong Lu Xiu -. in �J (1.)
Address(number and street) Add •�.�• street c
304 N.Ford St. 304 N. Ford
[ tt
City,State,and ZIP Code City,State,and ZIP e
Princeton,IN 47670 Princeton,IN 47670 0/7-0/9
Country Country
US US
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 ro p party,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Si Lure of Sel te
r Si nature of Seller r
rcOnlPrinted Na of /Iles Date Signed(mm/ddlyyyy) rinted Name of Seller Date Signed(mm/dd/yyyy)
Rong Lu 07/14/2023 Xiu Lan Lin 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
David Lapray
Address(number and street) Address(number and street)
704 E.Mulberry St.Apt 273
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670
Country Country
US
( )
Pursuant to IC 6-1.1-12.44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
OD1.Will this property be the buyer's primary f 0 3. Homestead
residence? 0 (X 4.Solar Energy Heating or Cooling System
O O 2.Does the buyer have a homestead to be vacated 0 ( 5.Wind Power Device
for this residence? If yes,provide address: 0 (t 6.Hydroelectric Power Device
Address(number and street) 0 ail 7.Geothermal Energy Heating or Cooling Device
•
City,State,and ZIP Code County
26- 12--01- 2-0 4- 003 • 6 2-—O ZB .