HomeMy WebLinkAboutHomestead_Davis H. PREPARER
Preparer of the Sales Disclosure Form Title
Allyn Tresenriter Escrow Officer
Company
Address (number end street, city, state, country, and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715
I. SELLER(S)/GRANTOR(S) FJ )Fil1
Seller 1 --Name as ll appears on conveyance document Seller 2- Name as appears on conveyance document 7,
C
Kayla S. Mendenhall
Richard P. Mendenhall Ka
Address (number and street Address (number and street) MA 2026
City, state and ZIP Code A City, state, and ZIP Code
50 r-V r..4‘c,f4 - --it/, LI 1 (04 S' 'Ai,' _„,„? a. Slraii&gd
Country f USuntry GIE3SON COUNTY AUDITOR
US
real property, or omits or falsifies any Information required to be provide• commits a Level 5 felony. 1
ignat • o eller S: natur: of Sell-r 1
` . ' - ♦ ... 14Y ' ' •
kff 1 Bate signed P led Name ofSeller Date signed (mm/ddyyyy) ''r tad r- y•f. Seller 9 (mm/ddtyyyy)
Richard P. Mendenhall 03/04/2026 , Kayla S. ender:hall 03/04/2026
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
Lance R. Davis Leesa M. West
Address (number and street) Address (number end street)
5142 South State Road 65 . 5142 South State Road 65
City, state, and ZIP Code City, state, and ZIP Code
Owensville IN 47665 Owensville (N 47665
Country
Country
US US
[t-- YES NO CONDITION YES NO . CONDITION
1. Will this property be the buyer's primary CD
3. Homestead
C) O O residence? O CI 4, Solar Energy Heating or Cooling System
k
2. Does the buyer have a homestead to be vacated G O 5. Wind Power Device
O O for this residence? If yes, provide address: O Q 6. Hydroelectric Power Device
-- Address (number and street) 0 0 7. Geothermal Energy Heating or Cooling Device
0 110 East Old Petersburg Road
1 City, state, ZIP code, and county 26 - 1 8 --O 6 - 3 OO - 0O 0 2-- u 2)
O Owensville IN 47665
RUnder penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, Is true, correct and complete
1 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 6 felony. (Note: Both spouse's