Homestead_Hinkle H. PREPARER
Preparer of the Sales Disclosure Form Title
Abbey Moore Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code
4905 Theater Drive, Evansville, lN1427
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance ocum • •'"S' Seller 2-Name as appears on conveyance document
The Estate of Richard Clem The Estate of Richard Clem
Address(number and street) .ao
,AUG 2 2 2U2if AdAress(numkeLd sliest)
10088 Ditney Hill Road OL(qi.t 6-Pri
City,State,and ZIP Code Dity)State,and ZIP Code ,
Elberfeld, IN 47613 Vh;,/z,zez a. DLS 7,0
Country untry., •
USA GIBSON COUNTY AUDITOR Tic Ps
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.
S' ture of Seller -• Sigatle of eller
'c\
41/
Printed lame of Seller (..) Date Signed(mn-i/ddlyyyy) Printed Nam eller Date Signed(mm/dd/yyyy)
James D ugan,Personal Representative 8/16/2024 Wesley Clark,Personal Representative 8/16/2024
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
Christopher Hinkle Kambra Hinkle
Address(number and street) Address(number and street)
499 North Spore Drive 499 North Spore Drive
City,State,and ZIP Code • City,State,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
USA USA
YES NO CONDITION YES NO CONDITION
rz-1, 1.Will this property be the buyer's primary D 3.Homestead
L--.1 residence? D EI 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated El El
for this residence? If yes,provide address: 5.Wind Power Device
0 El 6.Hydroelectric Power Device
Address(number and street) El 7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County 2 )-12_-'1C391- 100 -Q°24 • 02:4- •
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