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Homestead_Kluesner PitH. PREPARER • .- - .4)4t) , . • . . Preparer of the Sales Disclosure Form Title iff"'/P Payge Marx Escrow Officer <,, Company .-� 7412 Eagle Crest Blvd Evansville, IN 47715 �`'^I7)- I.SELLER(S)IGRANTOR(S) . ` ©0. � Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document OR Ryan Neil Kimbrel Tosha S. Kimbrel Ad r (number and street) Address(number and street) 30-S (A 41(0 13)03 CA 9 Cistate,and ZIP odeQQ�� { / 2 City,Hale,and ZIP ode y� /� {�CIOhn ." to ' 'l_.' Yf J S V 1DUW� ' ' r , 1 0 qol J Country Country I US US E-mail 74, complete asrequireand 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. pnature of Seller S nature of Seller d Name o Seller Date s' ned(mm/dd/yyyy) rioted Name of Seller Date signed g ed(mm/ddlyyyy) Ryan Neil Kimbrel 03/ /2023 Tosha S. Kimbrel 03/17/2023 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 r.,- 4 Logan J.Kluesner Kylee L.Kluesner Address(number and street) Address(number and street) d ray° •13177 Gore Road 13177 Gore Road `a' l,. City,state,and ZIP Code City,state,and ZIP Code _ ,s;q;W Lynnville, IN 47619 Lynnville, IN 47619 Co ntry Country ' USUS O 0 1.WII this property be the buyer's primary E 0 3.Homestead residence? 0 CI 4.Solar Energy Heating or Cooling System 0 2.Does the buyer have a homestead to be vacated 0 E 5.Wind Power Device --) * for this residence?If yes,provide address: 0 E 6.Hydroelectric Power Device Address(number and street) I�� 7o11-e ice►' 0 E 7.Geothermal Energy Heating or Cooling Device City,state,ZIP lode,a county " _M1 ' ) 1 L:74) 1C 04- 1y-1`t- a03 - 31?-z-ca5