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Homestead_Goforth
1 H. PREPARER IPreparer of the Sales Disclosure Form . Title i Milton Norman Settlement A ant '�__ 1 Company E-mail address Address(number and street,city,state,country,and ZIP Code) 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 t,SELLER(S)IGRANTORRS) j Seller 1-Name 2s it appears on conveyance document Seller 2-Name as a �r�nv document t Jarrod M.Cummings Kenda K.Curv�ings Address(numberand street) Address(rtu (anrtcaet) 8901 S Meadow Lane 89 1 S Meadow Lane((/ 2023 - 1 City,state,and ZIP Code C-I , to,and ZIP Code r 1 Owensville,IN 47665 7665 Country Country H CoV� ,,yy , UUv ))) US US N7),€ 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,ecinmits a Level 5 felony. Sign re�tf Seller _ r ; StavrAluredfSeiler 1% _ � 'E' erG:°�s ,,,y -,------- 1r i, f 1/ j/f 1 Punted Name of Seller - / Date gig nunfdd/yyyy) , Plin ltEtSl??J Name'of Seller L `/; Date signed rnmiddiyyyy) 1 Jarrod M.Cummings 111 f r� F Kenda K Cummings 1 J. BUYER(S)/GRANTEE(S)-APPUCATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APP Y Buyer 1-Name as it appears on conveyance document Buyer 2 u Name as it appears on conveyance document , Brock A.Goforth I i Address(numberand street) , Address(number and street) E 2674 N Old Fort Knox Rd. I City,slate,and ZIP Code City,state,and ZIP Code 1 Vincennes,IN 47591 1 Country Country I US deductions.Identli r all of those that apply: _. YES NO CONDITION -. -- YES --NO CONDITION ® 1+Will this property be the buyer's primary Imo' 0 S.Homestead • residence? p V, 4,Solar Energy Heating or Cooling System Fa/2.Does the buyer have a homestead to be vacated 0 t 5-Wind Power Device 0 ' for this residence? If yes,provide address: C]• ® 6.Hydroelectric Power Device I�Address • (number and street) �- © O.:, 7.Caeltherrnal Energy Heating or Cooling Device City,state.ZIP code,and county ak— n-2A- (00-0oi1-Gw9 - 02k. , tinder penattles of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete W} ! +