Homestead_Doneske H. PREPARERPreparer of the Sales Disclosure Form TitleAttorney
Company Pamela Partenheimer Mick
,
•
Address(number and street,city,state,country,and ZIP Code)
219 N. Hart St., P. O. Box 13, Princeton, IN 47670 +
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document
Seller 2-Name as appears on conveyance document
Lewis Enterprises, LLC
Address(number and street) Address(number and street)
109 W. Locust Street
City,state,and ZIP Code
City,state,and ZIP Code
Fort Branch, IN 47648 Country
Country
Gibson USA Telephone number
and Under
ete as
penalties law,and is prepared hereby accorfy this dance dan a with ICles 6-1 1-5.5 Disclosure,A person who know to the best of my n ngly andowledge in intentnd ionally falsifiies is true, rthetvalue of transferred
requiredY
real p .arty,or omits or falsifies any information required to be provided,sg s ue of Sel Bevel 5 felony.
Si re of alter r
it/
Printed Name o ler Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Peter J. Lewis, Managing Member 07032024
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY BTAX DEDUCeTIION—as it IDEarso IDENTIFY
ALL THAT
docu APPLY
Buyer 1-Name as it appears on conveyance document ent
Blair Doneske
Logan T. Doneske
Address(number and street)
Address(number and street) 18510 Somerville Ct
202 W Franklin Ln
City,state,and ZIP Code
City,state,and ZIP Code Evansville, IN 47725
Fort Branch, IN 47648 Country
Coun Vanderburgh
Gibsotyn USA
Y S NO CONDITION
YES NO CONDITION O � 0 3.Homestead
1.Will this property be the buyer's primary
O residence? 0 O 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
0 2 for this residence?If yes,provide address:
0 0 6.Hydroelectric Power Device
0 7.Geothermal Energy Heating or Cooling Device
Address(number and street) 1
City,state,ZIP code,and county --10G , 0 e U
ata
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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