Homestead_Horrall H. PREPARER
Preparer of the Sales Disclosure Form Title
Pamela Partenheimer Mick Attorney
Ccmpany
Address (number and street, city, state, country, and ZIP Code)
219 N Hart St, PO Box 13, Princeton, IN 47670
I. SELLER(S)/GRANTOR(S) 1
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Monty K. Parke Kenya D. Parke
Address (number and street) Address (number and street)
12087 E Base Rd 12087 E Base Rd
City. state, and ZIP Code City, state, and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660
Country Country
US us
real property, or omits or falsifies any information required to be provided, commits a Level 5 felony.
Signal r elle Sig lure of Selle
k poit
Printed Namp f Seller Date signed (mm/dd/ Tinted �j me of Seller at; .ned (mm/dd/yyyy)
Monty K. arke 09/18/2025 enya •. Parke 091 :/
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL TH • • • Y
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on Ortvayance document
Jenna Horrall Dalton M. Goslee CC,, JJ 22 202C
Address (number and street) Address (number and st e ) ✓
4084 S CR 300 E 4084 S CR 300 E
City, state, and ZIP Code City, state, and ZIP Coc &s
Winslow, IN 47598 Winslow, IN 47598 OVN '
Country CountryTO
us US
YES NO CONDITION
1. WII this property be the buyer's primary ; 0 3. Homestead
residence?
O O 4. Solar Energy Heating or Cooling System
;1
2. Does the buyer have a homestead to be vacated 0 O 5. Wind Power Device %de 14
0 for this residence? If yes, provide address
p O 6. Hydroelectric Power Device
Address (number and street)
0 O 7. Geothermal Energy Heating or Cooling Device
City. state, ZIP code. and county ,
26 ) — 0-4 - k-io0 -OBI
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