Homestead_Nolan H. PREPARER ---
Preparer of the Sales Disclosure Form Title
Milton Norman Settlement Agent
Company Email Address
Address(number and street,city,state,country,and ZIP Code)
25 NW Riverside Drive,Suite 310,Evansville, IN 47708
I. SELLER(S)/GRANTOR(S) •
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on co n document
Kimberly A. Gooch ((
Address(number and street) `` l Address(number and street)
12'cc\\---\ V\i\kic-k- 4 -41.., .
City,State,and ZIP Code V)r"t ,1"S 'w.:U. City,State,and ZIP Code 4k
Country L VQ r �l 3`'<1 i� Country G o,?,,
US eSO
Email Address Address �C/2 Telephone Mum er
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Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true; .•; =ct,and complete as :
required by law,and Is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally falsifie• the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of S J31er —
- - _ Signature of Seller
,- L _�
Printed/Tali-le—of of Seller �� Date Sig d(m /dd/yyyy) Printed Name of Seller Date Si ned mm/dd/
9 ( yyyy)
Kimberly A.Gooch '—i (---) !Z. f
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
Christina Ruth Nolan •
Address(number and street) Address(number and street) f
118 W Pine St •
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670
Country Country •
US
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 ® 0 3. Homestead
® O residence?
0 ® 4. Solar Energy Heating or Cooling System ,
2. Does the buyer have a homestead to be vacated ® 5.Wind Power Device
O for this residence? If yes, provide address:
0 ® 6. Hydroelectric Power Device
Address(number and street) O 51 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
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