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HomeMy WebLinkAboutHomestead_Stone (2)H. PREPARER Preparer of the Sales Disclosure Form Title �1 f uv 4 ;1dS eryen+ A n�- Company I Email Address Telephone Number First Advanta a Title Services LLC & C f� C _ A ?- Ole, Q A% . r11y\ 0)SA p Address (number and street, city, state, country, and ZIP Code) 2301 N. Burkhardt Road, Evansville, IN 47715 I. SELLERS)/CRANTdR(S) — Seller 1 - Name as it appears on conveyance document Seller 2- Name as appears on conveyance Tammy Klem Address (number and street) Address (number and street) JUL 16 2n26 696-6-6ifleelrr6t' '� � f � U U City, State, and ZIP Code Faft City, State, and ZIP Code Country Country GIBBON COUN TY US AUDIT Email Address T h n N tuber Email Address Telephone Number Under penalties of penury, I hereby certify this Sales Disdiosure, to the best of my knowledge and belief, is true, correct, and complete as requ. lied bylaw, and is prepared In accordance wutth IG 6-1,7-5.5. A person who. knowingly and intention_ afly faisifies the Value of transferred real grope . , or omits or falsi%es any information i quireato be provided, i obmmits a Level 5 felolry. .. Sl of Seller Signature of Seller Printed Name of Se Date Signed (mm/dd/yyyy) Printed Name of Seller Date Signed (mnVdd/yyyy) Tammy Klem 07/15/2026 07/16/2026 J. BUYER(S)IGRANT@E(S) — APPUGAaTiON F,,011 PROPERTY TAX ®EDUCTI0NS = IDENTIFY ALL THAT .APPLY Buyer 1- Name as it appears on conveyance document Buyer 2 — Name as it appears on conveyance document Libby G. Stone Chandler R. McKee Address (number and street) Address (number and street) �i S`. t' In S�'1935 h City, State, and ZIP Code City, State, and ZIP Code OfAnr�l �i Pawr&�, 47g@7- Country Country US US Email Address Telephone Number Email Address =Tplephone Number libstone42@gmail.com { ) chandlermckee79@gmail.com ) Pursuant to is 6•tll 12-44, the Sales Disclosure Form may be.. usedito.app]y for certain deduetions:adentify all of those that. apply: YES NO CONDIITION YES NO CONDITION 1. Will this property be the buyer's primary O O 3. Homestead residence? 0 ® 4. Solar Energy Heating or Cooling System 0 ® 5. Wind Power Device O ICJ 2. Does the buyer have a homestead to be vacated for this residence? If yes, provide address: O ® 6. Hydroelectric Power Device O ® 7. Geothermal Energy Heating or Cooling Device Address (number and street) cam%� _1�,_ 1©, V � W , O z - City,.State, and ZIP Code County ,.: . Under penalties of. perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and Ueiief, is true, correct,: and complete as required bylaw, and. is prepared in accordand.e.-with IC 6 1:1 5.5.: A. person who knowingly and inteti ioballyfalsmes the. value of transferred real. property, or omits or falsifies any info`nnatiop required to be provided, commits a Level 5 felony. (Note: Both spouse.'s information5SN/brversLcpDrlUuberiecesa.oly;iaiofriesefDryeducton is' being.ffldi4j) Signatur ar 1 SIRgature of Buyer 2/Spouse ` //5 PrInM LeqV Name of Buyer 1 Sign Date (MM/D ) Printed Legal Name of Buyer 218pouse Sign Date (MM/DD/YY) Libby G. Stone 7/15/2026 Chandler R. McKee 07/1512026 Last 5 Digits of Buyer i SSN/Driver's LicenseliD/Other Number Last 5 Digits of Buyer2/Spouse SSN/Driver's License/ID/Other Number Z Page 3