Homestead_Krohn INDIANA SALES DISCLOSURE FORM SDF ID Page 2
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Jeff Fox Title&Escrow Processor
Preparer of the Soles l)fsclosure Form Title
3930 Mezzanine Drive,Suite C Columbia Title. Inc.
Address(Number and Street) Company
Lafayette, IN 47905
mail
fatia.M1§17';:: 51r7-072() , - ____________,rr.---:-g-er4M7F- -
Mark R. Gogel Kimberly D. Lankford-Gogel
Seller.1-Name ag ap rs on 0
conveys document Seller er 2-Nameas on conveyanc document
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Addrws(Number and Street) Address(Number and tree
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Teleone NcJer 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 17l asqu' ed byw,and is prepared in accordance with IC;6-1.1-S.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Sell
Mark R.Gogel (Q ' (t(?-7,O Kimberly D. Lankford-Gogel - C -7O
Printed Name a/Seller S(qn Date LMM/DD/Ys7Yj Printed Name o'Seller Sign Date(MM/DD/YYYY)
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Brandon Krohn Brittany Krohn
on conveyance document Buyer 2-Name as appears on conveyance da u t
/Wren(NuntherandS eet) Add;ess(Number and Str t
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES j. NO CONDITION Y NO CONDITION
g ❑ 1.Will this property be the buyer's primary ' [[ 3.Homestead Jun 18 2020
residence? Provide complete address of primary —1 ldt Ehe gy Heating/Cooling
residence,includ'�g�coqintyf `� ❑ ❑/ 5.Wind Power Device GIBSON COUNTY AUDITOR C8
ZD$" H-liScb`t (Ural IA [ , ❑ 6.Add` (Num eraji4 treer 1 c Hydroelectric Power Device
i ►Z4 It10 TA , (N (-1-1 Q 111 uJ(�� ❑ 7.Geothermal Energy Heating/Cooling Device
Ci State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be11 Is this property a residential rental property?
vacated for this residence? If esprovide ❑ l� 9.Would you Iike to receive tax statements for this
complete address of residence being vacated,
yes,
property via e-mail?(Provide contact information
cludi g c unty below. a instructions for more information.
706 ,� 1L.? Not available in all corn
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E-mail