Homestead_Lofton (4) X
N. PREPARER
pnepamrof the Sales Disclosure Form num
Pamela PertenheimarMick Attorney
Company
Address(number and street,city,uam,country,and ZIP code)
219N Hart St, PO Box 13' Princeton, IN 47870
U. SELLER/S\/GRANTOR/S\
Seller-mamc as it appears nn conveyance document Seller 2-Name as appears on conveyance/��u/n����
VVayneA. K8ink|or Kinnbar|yD. Beadle
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Address(number and street) Address(number and street)
6�
310Q Rustic Valley Pl. 2184E Dead Level Rd ''uk0�
City, City,ty.otate.onuz|Pn000 ' +v��
E| Paso,TX Hazleton, |N47O4U �
Q/� /J
Country Country *-o� -
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El Paso gibs "wry
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 uv law,and is prepared|n accordance with/cn'1.1'o.o.A person who knowingly and intentionally falsifies the value v,transferred
real property,o,omits v,falsifies any information required tobo provided, |5 felony.
Signature o,Seller Sigena ,.-of Sel er
Printed Name o,Seller Date signed(nnm/olyyyy) /Printed Name ofSeller Date signed(mmmu/vyvv)
Wayne A. Mink|er 10282024 Kimberly O. Beadle 10282024
J. BVYER/s\/GR/\NTEE/S\-APPLICATION FOR PROPERTY lAx DEDUCTIONS-IDENTIFY ALL THAT APPLY
auvarI-wamouoitappoamunnonvnyonoeunuumant auverc-Namaas|tapneumunonnvevancednnument
Kevin L. Lofton Kay|oeR. Lofton
Address(number and street) Address(number and street)
2184E Dead Level Rd 21G4E Dead Level Rd
City,state,and ZIP Code City,state,and ZIP Code
Hazleton, |N47G4O Hazleton, |N47U4U
Country Country
gibs gibs
ysn NO oowo/T/ow YES NO oowo/T/ow
B O �1 Will this property be the buyer's primary @O [] 3. Momontnod
residence? [] E3 4. Solar Energy Heating orCooling System
[] m� 2, Does the buyer have a homestead tobevacated 0 E 5.Wind Power Device
~~ for this residence?|f yes,provide address: [] E G. Hydroelectric Power Device
Address(number and street) [] E 7. Geothermal Energy Heating ur Cooling Device
City,state,ZIP code,and county ^�
Under penalties ur perjury,/hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
,-� ' ° ~
poueon,s "�;0P
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