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Homestead_Mendenhall
H. PREPARER: Preparer of the Sales Disclosure Form - Title Sydney Johnson Closer Company Address(number and street,city,state,country and ZIP Code) 20 E 91st Street,Ste 100.Indianapolis,IN,U.S.A.,46240 I.SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as It appears on conveyance document Jacob Reinhart Lori K.Reinhart Address(number ands,rot) Address(number and street) ' 10183 S. Quail Crossing same City,state and ZIP Code City,state and ZIP Code ' , Haubstadt, IN 47639 same Country Country [U.S.A.] same Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as. In required by law,and is prepared accordance with'IC 6-1.1-.5.5.A person who knowingly and Intentionally,falsifies the value of transferred real pe ,or omits or falsifies any information required to be provided commits a Level 5 felony. Sign re of ler ature of Seller Prl ed Name of Seller , Date signed(mm/dd/yyyy) nted Name of Seller Date signed(min/dd/yyyy) 3 ob Reinhart 9/20/2024 Lori K.Reinhart 9/20/2024 J. BUYER(S)/GRANTEE(S)=APPLICATION FOR PROPERTY_TAX DEDUCTIONS--IDENTIFY ALL TIIAT'APPLY Buyer 1—Name as It appears on conveyance document Buyer 2—Name as It-appears on.., - ance document Lanny Mendenhall Address(number and street) Address(number and street) "LED1473 W Chukar HollowCity,state and ZIP Code City,state and ZIP Code CountryHaubst Country IN 47639 Country S,p 4 5 ?ply [U.S.A.] may be used to apply for certain deductions.Identify WI-tAtm;/�+.-.-,ply. • YE NO CONDITION YES�/ NO CONDITION R ' ❑ 1.Will this property be the buyer's primary ll3 ❑ 3.Homestead residence? ❑ VII 2.Does the buyer have a homestead to be vacated ❑ 11 4.Solar Energy Heating or Cooling System for this residence? If yes,provided address: 0 © 5.Wind Power Device Address(number and street) ❑ Q 6.Hydroelectric Power Device City,state,and ZIP code and county 0 Q 7.Geothermal Energy Heating or Cooling Device 2 ,-1 q-. 36-3oe- 002 612-024 3 ..`d ,- a r