Homestead_Harmon (4) H. PREPARER
Preparer of the Sales Disclosure Form Title
Megan Boger Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd 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
Kenneth Kimmell f Judy Kimmell
Address(n(m7L�Pr and,�tAeet)w ri ct n li-r ►n Address number and$tr�et^^ r e(�Q�7uQ
City,sta fit\�n(id.Z`P pal
, ' t J —i¢'s`V•X`)J Ci lty,st � t(�Pf!i Code
l.{�/ VllI NI -i�O U
Country (fir ! Q L Country
US US
E-mail address N A ►`/ �
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.
2'g)nattuurre�of Seellerr i na f Seller
.-111.'4.1 � � Date signed(mm/dd/yyyy)
Name of Seller Date signed(mm/dd/yyyy) Pri Na Seller y/ 9
Kenneth Kimmell 08/05/2022 J y Ki ell 08/05/2022
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 n conveyance document
Luis Frederick Harmon 1�
Address(number and street) Address(number and street)
306 S Sprint Street
City,state,and ZIP Code City,state,and ZIP Code AU�
Princeton, IN 47670 j �(
CountryCountry � O 2022 \\��1
US
US
to apply for certain deductions.Identify all'vripp that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary p( 0 3. Homestead
O O residence? O O 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
O IET for this residence?If yes,provide address: 0 O 6.Hydroelectric Power Device
Address(number and street) O O 7.Geothermal Energy Heating or Cooling Device/� (�
City,state,ZIP code,and county 1 ^ - I _��„7 ID LA—Q°(.�3 a- C a 6-
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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