Homestead_Purdue {
•
H. PREPARER
Preparer of the Sales Disclosure Form Title
Stacy Brown closing agent
Company
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave,Suite 102, Evansville,IN 47714 • • ...4.1
I.SELLER(S)IGRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appea cony: ;; ument
L.E.M Holdings LLC
Address(number and street) Address(number aoijjreet)
1460 East Indian Creek Estate �"CC if
• City,State,and ZIP Code City,S •':1 and ZIP Code
Princeton,1N 47670 G/ 1Qzs
Country Country
COUQ
Email Address
of my knowledge and belief,i 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 •rope ,or omits or falsifies any information required to be provided,commits a Level 6 felony.
Signatur` Seller Signature of Seller
Printed Name of Seller Date Signed(mmlddly yy). Printed Name of Seller Date Signed(mm/ddlyyyy) 1
. Chad Kingsbury,Sole Member 9 -I rg5
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 II appears on conveyance document
Terry Eugene Purdue BOBBIE PURDUE
Address(number and street) Address(number and street)
407 W Kentucky St 407 W KENTUCKY ST
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670 PRINCETON, IN 47670
Country Country
Email Address
7 NO CONDITION Y_E_S//NO CONDITION
❑ 1.Wilt this property be the buyer's primary is 0 3. Homestead
residence? 0 Q 4.Solar Energy Heating or Cooling System
❑ r,/ 2.Does the buyer have a homestead to be vacated 0 O 6,Wind Power Device
Wr for this residence?If yes,provide address: 0 6.Hydroelectric Power Device CZAddress(number and street) ❑ :O 7.Geothermal Energy Heating or Cooling DevicC3\
City,State,and ZIP Code County
. a O -12- ro 1 O3 —002 .16 z-102-E .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of myknowledge and belief,Is true,correct,end complete
as required by law,and Is prepared in accordance with IC 6.1.16.6.A person who knowingly and intentionally falsifies the value of
transferred real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.(Note:Both spouse's
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