HomeMy WebLinkAboutHomestead_LawlessH. PREPARER
Preparer of the Sales Disclosure Form
Title
Matthew Jarvis
Escrow Officer
Company E-mail address Telephone number
Southwestern Indiana Land Title matt@swinland.com 1(812) 425-0055
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as it appears on conveyance document
Tracy Vinson
Address (number and street)
Address (number and street)
5995 N. Watermelon Lane
City, State and ZIP Code
City, State and ZIP Code
Hazleton, IN 47640
Country
Country
United States of America
Email Address
�TelephoneNumber
Email Address
��
T e o e Numbertrccolvin5@gmail.com
940
?Q
Under penalties of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge an true, correct, and cornlete as required
by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally s4fi gf transferred
�e real property, or
omits or falsifies any information required to be provided, commits a Level 5 felony. OV.
S ature of Sellm
Signature of Seller JJ
R
Printed Name eller
Tracy Vinson
Date Signed (mm/dd/
yyyy)
Printed Name of Seller
Date Signed (mm/dd/yyyy)
5/21 /2026
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
Reed Lawless
Daisie Lawless
Address (number and street)
Address (number and street)
741 S. Magnolia Ave.
741 S. Magnolia Ave.
City, State and ZIP Code
City, State and ZIP Code
Princeton, IN 47670
Princeton, IN 47670
Country
Country
United States of America
United States of America
Email Address
Telephone Number
Email Address
Telephone Number
(219) 242-1493
(812) 840-8620
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be usedto apply for certain deductions. Identify all of those that apply,
YES NO CONDITION
YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary residence?
0 ❑ 3. Homestead
❑ Z 4. Solar Energy Heating or Cooling System
❑ 111 2. Does the buyer have a homestead to be vacated for
this residence? If yes, provide address:
❑ Z 5. Wind Power Device
❑ Z 6. Hydroelectric Power Device
Address (number and street)
❑ Z 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
a 6 i a ., o 1 -lo � - ao a. 7k,? - ogg
Under penalties of perjury, I hereby certify that 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 real
property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's information, SSN/Driver's
LicensellD/Other Number is necessary if a Homestead Deduction is being riled.)
ignature of Buyer 1
igture of Buyer/Spouse
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Reed Lawless 5/21/2026
Daisie Lawless 5/21/2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
,SSN: 7 7 , 3 �/'1)W. 3
SN: '� LI2.019
Page 3