Homestead_Parker (11) H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as it a
Susan D. Kifer ppears on conveyance document
Patricia A. Dodge
Address (number and street) Address (number and street)
5752 W 550 S 602 N. Main St.
City, State and ZIP Code City, State and ZIP Code
Owensville, IN 47665 Patoka, IN 47666
Country
Country
United States of America
'ignature of Sel - 0- .• r ign. e of Seller
C•Th
Printed Name of Seller r .' -- ' A 0 ,1
Date Signed (mm/dd/ Printed Name of Seller Date Signed (mmidd/yyyy)
Susan D. Kifer yyyy) Patricia A. Dodge 1/5/2026
1/5/2026
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 . . - - :nce document
Ray Parker
Address (number and street) Address (number and e. Vfir
519 Ash St.
City, State and ZIP Code �`��O
City, State and ZIP le
Mt. Carmel, IL 62863
' "
Country Country �C°�
United States of America Gl
y PLO
Email Address
certain deductions. Identify cil of those that apply:
Y•
YES NO CONDITION YES NO CONDITIONil
F E CI 1. Will this property be the buyer's primary residence? El 3. Homestead , ' , _
0 CZ 2. Does the buyer have a homestead to be vacated for ❑ ❑ 4. Solar Energy Heating or Cooling System
this residence? If yes, provide address: ❑ El 5. Wind Power Device
Address (number and street) 0 0 6. Hydroelectric Power Device
0 El 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
2... f -- • - C'"--1 __ -\ C \ , CC:Y • . --( L. c,--- 5 ._
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