HomeMy WebLinkAboutHomestead_Genco H. PREPARER
Preparer of the Sales Disclosure Form Title
Stacey Salzman Settlement_Agent
_
Company- _ `-� -.
Address(number and street,city.state,country,and ZiP Code)
2301 N.Burkhardt Road,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Randall S.Kendall Kenna J.Kendall MAR 2 9 2022,
Address(number end street) Address(number and street)
311 S.Ohio St. _ 311 S.Ohio St. +.� �,,� �
City,state.and ZIP Code City.state.end ZIP Code
Hazleton,IN 47640 — Hazleton,IN 47640
Country Country
GIBSON COUNTY AUDITOR
US US
E-mail address -
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
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. )}
I a e of Seller Sign ure of Seller ���
l/Slhn✓re of S` C / f Date signed mm/dd/
Printed Name of Seller,(� � � Date signed(mm/ddlyyyy) �Inted Name of Setle 9 ( YYYY)
Randall S.Kendall 03/22/2022 Kenna J.Kendall 03/22/2022
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR R 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
Felicia Ann Genco
Address(number and street) Address(number and street)
7271 S.850 E _ ----
City,state.and ZIP Code City.slate,and ZIP Code
Oakland City,IN 47660 Country Country
US
ply for certain deductions.Identity all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary ( 0 3. Homestead
® 0 residence? D (Xi 4.Solar Energy Heating or Cooling System
� ® 2.Does the buyer have a homestead to be vacated
0 ill 5.Wind Power Device
for this residence?If yes,provide address: 0 a 6.Hydroelectric Power Device
Address(number and street) _ _ 0 ® 7.Geothermal Energy4 Heating or Cooling Device
City,state.ZIP code,and county Wa-�^�- 0 3.3-OO 0 .77 2 0)$
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
OF?
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