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Homestead_Lasley
H. PREPARER ---_ -- Preparer of the Sales Disclosure Form Title Kelly E Norton Settlement Anent Company , Email Address Address(number and street,city,state,country,and ZIP Code) 4799 Rosebud Lane,Newburgh,IN 47630 I SELLER(S)IGRANTOR(S) 6, , Seller 1-Name as It appears on conveyance document Seller 2-Name as appears on cone e; # to Eric J.Torbert Melissa M.Torbert Address(number and street) Address(number and street) ©te 3448 Bluegrass Ln. 3448 Bluegrass Ln OS ?02y City,State,and ZIP Code City,State,and ZIP 7 Terre Haute,IN 47802 Terre Haute,IN 41tilQk Country US Country ONc dip ,©v q� US 7- the best 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 real prope. , . or fat- -es any Infomwtlon required to'be provided,commits a Level 5 felony. Sig,,•^, I-of Se -,+11.1111, Sig o Seller if 0ft Printed Na ► • .Iler Date (mm/ddlyyyy) rint Seller Date pig d(mmldd/yyyy) Eric J.Torbert I Z�tiOZCI Melissa M.Torbert r ZrZtZ67 Ll J.BUYER(S)IGRANTEE(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 Ryan N.Lesley Kerilvnn Lesley Address(number and street) Address(number and street) 2467 N 465E 2467 N 465 E City,State,and ZIP Code City,State,and ZIP Code Pnnceton,IN 47570 Princeton,IN 47570 Country Country US US YES NO CONDITION YES NO CONDITION 4. 0 1.1Ml this property be the buyer's primary 114 0 3.Homestead residence? 0 ® 4.Solar Energy Heating or Cooling System O 2.Does the buyer have a homestead to be vacated 0 al 5.Wind Power Device for this residence?If yes,provide address: 0 ® 6.Hydroelectric Power Device Address(number and street) Q ® 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County r2Q0-• 00o. &9 3- ©09 . Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and comp) II ro S (M' 3i '� • Fy