Homestead_Mabrey •
H. PREPARER
Preparer of the Sales Disclosure Form Title
Angie Fossett Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4905 Theater Drive, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appe o eyance document
Steven N. Lamar
Address(number and street) ' Address(number and street)
312 West Columbia Street
City,State,and ZIP Code City,State,and ZIP Codep/
Oakland City, IN 47660 rVLV
Country Country 8 ?D2y
USA
SON COI Q
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and be i f gAts , rect and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionallyi I the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signal r of Seller Signature of Seller
Printed Name of Seller Date Signed(mrr✓dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Steven N.Lamar 11/4/2024 11/4/2024
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
Tyler Mabrey
Address(number and street) . Address(number and street)
10219 East Main Street
City,State,and ZIP Code City,State,and ZIP Code
Oakland City, IN 47660
Country Country
USA
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
N ❑ 1.Will this property be the buyer's primary > 0 3.Homestead
residence? Ei a 4.Solar Energy Heating or Cooling System
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2,Does the buyer have a homestead to be vacated ❑ 0.
5.Wind Power Device
n for this residence?If yes,provide address: � 6.Hydroelectric Power Device
Address(number and street) Er 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County (r.- — O 2_ -LI Q lI -p 6 o 09'8_003
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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