Homestead_Rumble H. PREPARER li
Preparer of the Sales Disclosure Form Title
Kayla Vaughn Secretary
Company
Address(number and street,city,state,country,and ZIP Code)
17 W. Main Street, Poseyville, IN 47633 I. SELLER(S)IGRANTOR(S) FILED
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Robert E Rumble 1 David J Rumble SEP 12 2023 (�.
Address(number and street) Address(number and street)
9808 S 1000 W 108 South Campbell Bled ...-"2.2...a,
City,State,and ZIP Code City,State,and ZIP Code/2? , C
Cynthiana, IN 47612 Haubstadt, IN 47639 GIBSON Cn
Country Country uN7, AUD
Email Address
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.
Signifyof elle• ` Si atu of SJ�IIer p lar
ei_
Punted6.4„,......44—
Name of Seller Date Signed(mm/dd/yyyy) in ed Name of Sett Date Signed(mm/dd/yyyy)
i Robert E Rumble 09/05/2023 David J Rumble 09/05/2023
J. BUYER(S)IGRANTEE(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
Jacob M Rumble • Mackenzie S Rumble
Address(number and street) Address(number and street)
9867 W 1000 S 9867 W 1000 S
City,State,and ZIP Code City,State,and ZIP Code
Cynthiana, IN 47612 Cynthiana, IN 47612
Country Country
Email Address
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary E El 3. Homestead
residence? ❑ 4. Solar Energy Heating or Cooling System
❑ O 2. Does the buyer have a homestead to be vacated ❑ Z5.Wind Power Device
for this residence?If yes, provide address: ❑ s 6. Hydroelectric Power Device
Address(number and street) D ❑✓ 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
12-01 -33 -y00_C�(�Lt .21c►-n21
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