Homestead_Sullivan H. PREPARER
r Preparer of the Sales Disclosure Form Title
Christina Lenfers Mortgage Processor
Company
Address(number and street,city,state,country,and ZIP Code)
910 W. Main St, Boonville IN 47601
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
RICHARD A. KOLLEY SARAH C. KOLLEY
Address(number and street) Address(number and street)
1822 DOGWOOD LN SAME
City,State,and ZIP Code City,State,and ZIP Code
BOONVILLE IN 47601
Country Country
WARRICK
Email Address
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.
Signature of Seller mature of eller c.
Printed Name of Seller Date Si (mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
RICHARD A. KOLLEY Q/ .//ZOZ$` SARAH C. KOLLEY ei/ /zo
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 conveyan ED
JERRY J. SULLIVAN TINA K. SULLIVAN
Address(number and street) Address(number and street)
12919E 1025 S SAME
City,State,and ZIP Code City,State,and ZIP Code
OAKLAND CITY IN 47660 FEB 0 7 20254. b
Country Country
GIBSON
Email Address
GIIpSON COUNTY AUDITO 3
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
® O 1.Will this property be the buyer's primary O✓ 0 3. Homestead
residence? O l l 4. Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated O O 5.Wind Power Device
for this residence?If yes,provide address: 0 O 6. Hydroelectric Power Device
Address((TERRY LN and street) O Cl 7. Geothermal Energy Heating or Cooling Device
225City,State,and ZIP Code County /
LYNNVILLE IN 47619 WARRICK c2(0—al -3 23-17Q r J oG I
Under penalties of perjury,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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