Homestead_Reynolds !yr !r ...�sc. �'
H. PREPARER _ - ..----
Preparer of the Sales Disclosure Form Title
Brianna Lcudermilk Settlement Aaent --�
Company
Regional Title Services LI.0 -
Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd. Suite 201, Evansville. IN 47715 -: - - --wr
I. SELLER(S)/GRANTOR(S) i
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document I
Williams
Debra Mhisenant) Ridgely Diane - J �1
Address (number and street) I Address (number and street) i
1587 E State Road 64 1587 E State Road 64
City, State, and ZIP Code City, State, and ZIP Code
Princeton, IN 47670 _ Princeton, IN 47670 — ---1
Country
Country
US US -
Email Address Telephone Number Email Address I Telephone Number i
I ( ) I — I ( ) — _
Under penalties of perjury, I hereby certify this Sales Disclosure, to 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 ii
, real property. or omits or falsifies any information required to be provided, commits a Level 5 felony.
Signature of Seller tit..., k-vieviktdSignature of Seller
A-10,4Nee(
Printed Name of Seller 1 Date Signed (mmldd/yyyy) j Printed Name of Serer 1 Date Signed ( yyyy)•
• Debra (Whrsenant) Ridgety 12/22/2025 Diane Williams 12/22/2025
[. J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY 1
Buyer 1 -Name as it appears on conveyance document
'
Lance A. Reynolds Buyer2 - Name as it ap veyance document
Address (number and street) I Address (number ands t) _
2130 Vine Court, Apartment 16 _ I
City, State, and ZIP Code City, State, and ZIP Code Princeton, IN 47670 JAN 0 2 2(l26
Country Country
US i -
certain deductions. identify all or ttbsvIntit apply:
•
YES NO CONDITION YES NO CONDITION
Cie O 1. Will this property be the buyer's primary
a J 3. Homestead i
residence? C cg 4. Solar Energy Heating or Cooling System
-- �2. Does the buyer have a homestead to be vacated C M 5. Wind Power Device .1p, ,i )13
C ® for this residence? If yes, provide address: 0 2 6. Hydroelectric Power Device
Address (number and street) 0 d 7. Geothermal Energy Heating or Cooling Device
City, State. and ZIP Code County - 1 2 r- - 300 --pc)V . Z�'
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the hest 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 property, or omits or falsifies any Information required to be provided, commits a Level 5 felony (Note: Both spouse's
Last 5 Digits of Buyer 2/Spouse SSN/Driver s Lioense/iD/Other Number
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