Homestead_Jorden Jr H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state, country,and ZIP Code)
7412 Eagle Crest Blvd 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
Eric A. Baehl Susan K. Baehl
`Address(number and street Addres§jnumber and stre
1353-TS p • i S 83 3 Deev-L, /Qv/ -
City,state,and ZIP ode City,state,and ZIP Code
Fvn , sc,it(ie •A/ 1-4.T1.4v .'vi,,S,,. ILe. .iv 4rri
Country Country
US US
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.
ature of Seller i nat re of Seller
c...--r— A :‘, ,,._ .\ L - 3mA/1--e
rinted Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Eric A. Baehl 12/08/2023 Susan K. Baehl 1 /
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDE TT FIIA L T .tA PL
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance documen
Mark W. Jorden, Jr Kathryn Jorden
Address(number and street) Address(number and street) UEU 1 5 202
1589 East Warrenton Road 1589 East Warrenton Road
City,state,and ZIP Code City,state,and ZIP Code /
Haubstadt, IN 47639 Haubstadt, IN 47639 -<< 1�Y4.-,w)
' Country Country GIBSON COUNTY AUDITOR
US US
M
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
r) O O residence?
O O 4. Solar Energy Heating or Cooling System
g Lt' O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence? If yes,provide address: 0 O 6. Hydroelectric Power Device
O
(Q Addr s.(num er aptr�et)- 0 Q 7. Geothermal Energy Heating or Cooling Device
1 nr t e'rlifeY‘ 0'
City,state, IKcode,and co AV 1'�( 3`� Z/'_ I ct--( { --J —0,O I' 7 rw /
1 i ..Ih {{moo ` (mob —��b
•
M Under penalties ofsp ry,I hereby certify that this Sales Disclosure,to the 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
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