Homestead_Feller H. PREPARER
Preparer of the Sales Disclosure Form Title
•
Leah Brown 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 c c Ili
Mark R.Gogel Kimberly D.Lankford-Gogel
Address(number and street) Address(number and street)
734 W Conwell Dr 734 W Conwell Dr
City,slate.and ZIP Code City.slate,and ZIP Code MAR 2 / 2023 r—N
Haubstadt,IN 47639 Haubstadt, IN 47639
Country Country
US US (th,: c Y2 1IL1.
falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller Sig attire of Seller
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A
Lin_be 4.134 al-ky91O,•- kbii PS
Printed Name of Seller Date igned( mil Vi ddiyyyy) Printed Name of er Date sigi (2-7n/ iy.yvy)
Mark R.Gogel 3 t't Kimberly D.Lankford-Gogel
J. BUYER(SYGRANTEE(s)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
L_
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Christopher Scott Feller Melissa Ann Feller ,
. •Ar .'
-44:1, ' •
ci--- Address(number and street) Address(number and street)
1409 Churchill Rd 1409 Churchill Rd
0 City,state,and ZIP Code City,slate,and ZIP Code ''
•t, , '4,7r.$4'
rt, Evansville,IN 47725 Evansville, IN 47725 '.. .r.!
••,.*:
c.\j Country Country
Q US US
I
C4
YES NO CONDITION YES NO CONDITION
Cl 0 0 1.Will this property be the buyer's primary
Mt CI 3. Homestead
residence?
D 0 I:g 4.Solar Energy Heating or Cooling System
CD 2.Does the buyer have a homestead to be vacated 0 a 5.Wind Power Device
1 for this residence?If yes, provide address: D 1 6.Hydroelectric Power Device
Address(nunTbecpdstre.et) - •__1
V)4.2k-- D M 7.Geothermal Energy Heating or Cooling Device
t 1 Li 0 1 ( ) ...1G(r C h-1 i 1
state.ZIP code,and couali 1=-
Ile, /7 TA6 26-2_3 -I -0()- oo\ _co02_,Li
1 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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