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HomeMy WebLinkAboutHomestead_Chambers H. PREPARER - - 3 Preparer of the Sales Disclosure Form j Title , Kelly E Norton Settlement Agent Company Email Address ( Address (number and street, city, state, country, and ZIP Code) 4799 Rosebud Lane, Newburgh, IN 47630 I. SELLER(S)IGRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Kimbra D. Parker Kent A. Mann Address (number and street) Address (number and street) 4640 Huntington PI 2696 W 1300 S !__ City, State, and ZIP Code City, State, and ZIP Code Evansville, IN 47725 Haubstadt, IN 47639 Country Country t US US 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. Signs ur ir Seller pck_itA... I Signature of Seller `-; ies...",v_ is-YL._, Print d Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Kimbra D. Parker 02/12/2026 Kent A. Mann , 02/12/2026 J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY . . THAT APPLY Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on .. 1- '-y.n .• rnent - Lane T. Chambers Address (number and street) Address (number and street) 100N. Main St. `C_ City, State, and ZIP Code City, State, and ZIP Cod , 41111 Fort Branch, IN 47648 Country - — — Country ----/e ' US S°arCO, , for certain deductions. Identify all of • 1,, at apply: YES NO CONDITION YES NO CONDITION -/ 0 1. Will this property be the buyer's primary X (t 3. Homestead residence? O ® 4. Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated ; O ® 5. Wind Power Device for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device Address (number and street) 0 () 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County ,-Z Z -i Cr 400 _ _ c9b2 - (to2 u2u 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 transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's <' S_ r t Y , 4X h• 3