Homestead_Cole H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street,city,state, country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on con yan d ument
LAKEVIEW LOAN SERVICING, LLC
Address(number and street) Address(number and street) 01, .,��
8950 Cypress Waters Boulevard C
City,State,and ZIP Code City,State,and ZIP C/.S• . l�O�
Coppell, TX 75019 9 1
Country ; Country OTC C�
CO/
E-mail Address Telephone Number E-mail Address 'go / Telephone Number O
A_
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.
Sig�ute�Sell�.Q`�� Y
Signature of Seller
Printedffll�>Name of Seller V\ Date Signed(mmidd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
NATIONSTAR MORTGAGE,LLC,Attome November 20, 2023 November 20, 2023
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—Name as it appears on conveyance document 1
CARMELLA COLE
Address(number and street) Address(number and street)
404 E Poplar Street
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch, IN 47648-1709
Country Country
apply for certain deductions.Identify all of those that apply:
YESi NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary
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: 0 Dr6. Hydroelectric Power Device
Addre s jppber and street) 0 �7.Geothermal Energy Heating or Cooling Device
Biel \c). vcrev 1.d .
CityWZIp co e,an ounty -) —t Q —I()L 1 —r1(-)Q (F r-
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