HomeMy WebLinkAboutHomestead_Dilbeck (2) H. PREPARER
Preparer of the Sales Disclosure Form Title A ke_o deeds .1
Company
Address(number and street,city,state,country,and ZIP Code)
3 Lis RUL tSer- oQ Corcr upo l is, P/- 1S7or
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Lakeview Loan Servicing, LLC
Address(number and street) Address(number and street)
8950 Cypress Waters Blvd
City,State,and ZIP Code City,State,and ZIP Code
Coppell,TX 75019
Country Country
The United States of America
Email Address Telephone Number Email Address Telephone Number
( ) ( )
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.
Signature of Seller Signature of Seller
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
.46.J. BUYERS)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDEtkk HAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on co ce d nt
Logan Dilbeck //
Address(number and street) Address(number and street) 4/4,6I)
9681 W 400 S 1- 11
City,State,and ZIP Code City,State,and - -
Owensville, IN 47665 / �,.e es _ O17
Country Country �bC OQ
The United States of America
*
for certaIN dsducdons.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
x rn 1.Will this property be the buyer's primary ic a 3.Homestead
residence? \ ();:3J • al 4.Solar Energy Heating or Cooling System
ci mi. 2.Does the buyer have a homest d to be'Moat ® a5.Wind Power Device
12.6 for this residence? If yes,p vide ss: ,I 0 cg 6.Hydroelectric Power Device
Addres�(nurnb' d t er anreet)�� G \v ® a 7.Geothermal Energy Heating or Cooling Device
Iy>] Y `7 J
City,State,and ZIP Code \\\ ( County �6_1-1_i2_�4_000 •1m -_ 0 ZZ
4' Qhacnw�\\c. , St.1, 441 �)) 1
Under penalties of perjury,I hereby certify that 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