Homestead_Kimmell H.PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
101 Plaza East Boulevard, Suite 102, 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
RYAN M. RESENBECK STEPHANIE J. RESENBECK
Address(number and street) Address(number and street)
300 N Main Street 300 N Main Street
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch, IN 47648-1003 Fort Branch, IN 47648-1003
Country Country
E-mail Address
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.
Sign of Signature of Seller
C24— -
Printed me f Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
RYAN M.RESENBECK June 21, 2023 STEPHANIE J.RESENBECK June 21, 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
MATTILYNN K. KIMMELL COLEDON W. SUMNER
Address(number and street) Address(number and street)
300 N Main Street 300 N Main Street
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch, IN 47648-1003 Fort Branch, IN 47648-1003
Country Country
YES NO CONDITION YES NO CONDITION
1.Will this property e i er's primary ❑ 3.Homestead
❑ residence? ..
❑ ��1 4.Solar Energy Heating or Cooling System
vzi2.Does the buyer ve a h • be vacated El Et 5.Wind Power Device
❑ for this esidence" yes,prove ❑ 6.Hydroelectric Power Device
Address(number ar@ t) �9
sTSO - ?O?� ❑ 7.Geothermal Energy Heating or Cooling Device
(
City,State,ZIP code,and�6�r,
Z C -18 - 13 -Ito 2 -000-.3419 -0�6
Under penalties of perjury,I hereb96;. that this
sclosure,to the best of my knowledge and belief,is true,correct and complete
as required by law,and is prepared I.•� ance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of
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