HomeMy WebLinkAboutHomestead_Gogel H. PREPARER
Preparer of the Sales Disclosure Form Title
Amy B.Pollard Settlement Agent^ ---
Company
Address(number and street.city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,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
Joshua D.Newton
Ep
Address(number and street) Address(number and street) L. i i
734 W Conwell Drive 1 L
City,slate,and ZIP Code City.state,and ZIP Code
Haubstadt,IN 47639 ---
Country Country
US
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. _ _,
a.
Sig,re f Seller � - Signature of Seller
I
-rinsed Nam of Seller Date signed(mm/dd/yyyyJ Printed Name of Seller Date signed(mm/dd/yyyy)
Joshua D.Newton 12/02/2022 12/02/2022
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 on conveyance document
Mark R.Gogel Kimberly D.Lankford-Gogel
Address(number and street) Address(number and street)
12444 S.Brook Dr 12444 S.Brook Dr
City,slate,and ZIP Code City,state,and ZIP Code
Haubstadt,IN 47639 Haubstadt,IN 47639
— — — --- — -
Country C
Country Country
US US
to apply for certain deductions.Identifyall of those that apply:-_ —
1 Cgs 3. Homestead
® 0 4.Will this property be the buyer's primary
residence? 0 It 4.Solar Energy Heating or Cooling System
8 ,j 2.Does the buyer have a homestead to be vacated ' 0 a5.Wind Power Device
O � for this residence?If yes,provide address: w_ p a6.Hydroelectric Power Device
o
4 dress number azistrecoo0 (2 7.Geothermal Energy Heating or Cooling Device
'7'1 City,state.ZIP code, d county .�r
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
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