Homestead_Kohlmeyer (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Tim Shea Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 (
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Ralph E Parnell,Jr. ' Lucy C.Parnell
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
1274 E Taftown Road 1274 E Taftown Road
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton,IN 47670
E-mail Telephone Number E-mail
Under penalties of perjury I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete equ' law,and is prepared in accordance with C 6-1. 5-. ; R 5 " eal-P op erty Sales Disclosure Act".
Signal. of Seller Signature o eller Ralph E Parnell,Jr. 1•i,3 �Q Lucy C. arnell 131? ,Printed Name of Seller Si n D e(MM/DD/Yri7) Printed Name of Seller Ignate(MM/DD/YYYY)
ai B IVETRI'/G t 'ITS Whahati CketoA itiiROAER`1gY I'EUCnLIfs`DUCTiliti III$NTINNALL 71LMSr'faHAi`I Al l RMWa 3 >' l
Joshua A.Kohlmeyer Shannon R Kohlmeyer
Bilyer-1—Name on conveyance document Buyer 2-Name as appears on conveyance document
4 Locus Street 405 E Locus Street
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648 Fort Branch,IN 47648
State,
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. FILED
YESCONDITION
CONDITION
1.Will this property be the buyer's primary ❑ 3.Homestead)
residence? Provide complete address of prima r-> Iergy/ Jun 04 20[0
Heating/Coolin
Alt
residence,including county: ❑ 0 5.Wind Power Device GIBSON COUNTY AUDITOR CB
1274 E Taftown Rd Address(Number and Street) . ElE1 6.Hydroelectric Power Device
Print on,IN 47670 Gibson II I l /7.Geothermal Energy Heating/Cooling Device
City tateZlP ode County ❑ IQ" 8.Is this property a residential rental property?
2.Does the buyer have a homestead in Indiana to be ❑ Q 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide aperly via e- ' , ovide contact information
complete address of residence being vacated, below.Please see instructions more information.
including county:
C Not available in all counties.)
Address(Number and Street) 26-12-05-400-001. 091-027
Joshua A.Kohlmag3hannon R Kohlmeyer
City,State ZIP Code County Primary property owner contact name E-mail