Homestead_Lankford (4) H. PREPARER
Preparer of the Sales Disclosure Form Title -�
Claire Kincaid Settlement Agent
Company /�
Code) ,J
4799 Rosebud Lane,Newburgh,IN 47630
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on f. ance document
Donna Jean Townsend,subject to the rights of Dennis R.Smith,a Guardi
Address(number and street) Address(number and street)
113 Calvin Ave
City,State,and ZIP Code City,State,and ZIP Code ✓j,
Springfield,IL 62704 V� /? ����
Country Country 20?S
us 0/4?s
best of my knowledge and belief;9 rrect,and complete as
required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally F i t) the value of transferred
al roperty,or omits oft isifies any information required to be provided,commits a Level 5 felony.
'g to of/Seller / Signature of Seller
i ted Name of Seller • if
"' Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) I
,....
)ennis R.Smith, 06/26/2025 06/26/2025
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
Chase A.Lankford S dne D.Hull
Address(number and street) Address(number and street)
2535 W.50 S. 2535 W.50 S.
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 Princeton,IN 47670
�i Country Country
US
YES NO CONDITION ES NO CONDITION
( 1.Will this property be the buyer's primary 0 3.Homestead
O residence?
�1 0 ® 4.Solar Energy Heating or Cooling System
\�,\�" ; , �A/2.Does the buyer have a homestead to be vacated 0 al 5.Wind Power Device
�1�� for this residence?If yes,provide address: 0 ® 6.Hydroelectric Power Device
(\`(. i ` .••.-
person who knowingly and intentionally falsifies the value of
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