Homestead_Taborn DocuSign Envelope ID:4BCC69E7-0B74-465A-8369-6CCEC49158E6
H. PREPARER
Preparer of the Sales Disclosure Form Title
Sherri Hudson Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
2301 N.Burkhardt Road,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as ap rs o c veya tt ,-�
Lankford o Pr perties,LLC
Address(number and street) Address \
(number and street) 1 � \
56E400N JUL 05
City,State,and ZIP Code City,State,and ZIP Code 1024
Patoka,IN 47666
Country Country I /
US GIBSON CO J�
vN Email Address (
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
rai-pr p ef:omits or falsifies any information required to be provided,commits a Level 5 felony,
Si tun f Sel, / Signature of Seller
ed Name o Printr S/ell�er Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Chase Lankford,R'?cY��(� 07/02/2024 07/02/2024
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
Lacurtis Tabom Stefanie Taborn
Address(number and street) Address(number and street)
1127 N.Market St. 1127 N.Market St.
City,State,and ZIP Code City,State,and ZIP Code
Mount Carmel,IL 62863 Mount Carmel,IL 62863
Country Country
US US
YES NO CONDITION
1.Will this property be the buyer's primary 18 0 3.Homestead
residence? 0 CD 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
for this residence? If yes,provide address: 0 al 6.Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 2_6
t) 2` o q _3oz_0,00 S^•.,.._ova
•
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
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