Homestead_Lewis (3) H. PREPARER
Preparer of the Sales Disclosure Form �iitio
Sarah McDaniels Escrow Officer
Company —
Address (number and street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as It appears on conveyance document Seller 2 - Name as appears on conveyance document
Kevin R. McKannan Lisa K. McKannan
Address (number and street) Address (numbs and street!)
c331 � . A) 5 N. Cs IQ 5 • r.
y
Cit to and ZI P Code City,
pate, and ZIP Code
iat•n&J-,,A T_�v " ' 1 & ri C A" L 1C, r10
Country Country
US US
a
E-mail address Telephone number E-mail address Telephone number
kmckannanpft@gmail.com (e12 ) 677-5144 Iisakmckannan@gmaii.com ( 812) 677-6854
Under penalties of perjury, I hereby certify this Sales Disclosure, to the beat 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 falsities the value of transferred
real property, or omits or falsifies any Information required to be provided, comml s a Level 6 fel ray.
SI nature of Seller S' ' Iler
�r i
J, BUYER(S)1GRANTEE(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 or conveyance d rat
Jesse D. Lewis
11,
Address (number and street) Address (number end street)
131 South Church Street
City, state, and ZIP Code City, state and ZIP Code
Poseyville, IN 47633 s�io
'. -* _1)
Country Country �7
US , US G46 �0(�
for certain deductions. Identify all o e i�•l as ply:
YES NO CONDITION _ YES NO CONDITION A4o�-r -
1. Will this property be the buyer's primary C) C 3. Homestead OR
residence? 0 Q 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 1 0 O 6. Wind Power Device
for this residence? If yes, provide address: 0 O 6, Hydroelectric Power Device
•
Address(number and street) ❑ Q 7. Geothermal Energy Heating or Cooling Device
City, state, ZIP code, end county J
6 - 1
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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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