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
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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 `-;
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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,
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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 _ _
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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
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