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H.PREPARER
Preparer of the Sales Disclosure Form
Title
Leah Brown
Settlement A ent
Email Address Telephone Number
Company
Regional Title Services LLC
closings@regionaltitlellc.com ( 812 ) 759-5555
Address (number and street, city, state, country, and ZIP Code)
7820 Eagle Crest Blvd, Suite 201, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 — Name as it appears on conveyance document
Seller 2 — Name as appears on conveyance o u n
Russell W. Reeves
Myra L. Reeves
Address (number and street)
Address (number and street)
706 E Edinborough Court
706 E Edinborough Court it to
City, State, and ZIP Code
City, State, and ZIP Code JUL7 �026
Haubstadt, IN 47639
Haubstadt, IN 47639
Country
Country
us
US
Email Address
Telephone Number
Email Address —JUO
1(9r�yn4k�q
russ—lynne@bellsouth.net
( 901 ) 921-9020
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Under penalties of perjury, i hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete as
required bylaw, 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 tnf nation required to be provided, commits a Level 5 felony.
Sig n a elter
i�
Signature of Seller
Printeo N e of Seller I Date Signed (mm/dd/yyyy)
Printed me of Seller Date Signed (mmldd/yyyy)
512026
Russell W. Reeves U 7/15/2026
Myra L. Reeves //((yam y�tl�uw� 07/1
_—. -_ _ - _ - J. BUYERS)/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 on conveyance document
Mark R. Go el Kimberlv D. Lankford -Go el
Address (number and street)
Address (number and street)
734 W Conwell Drive
734 W Conwell Drive
City, State, and ZIP Code
City, State, and ZIP Code
Haubstadt, IN 47639
Haubstadt, IN 47639
Country
Country
us
us
Email Address
Telephone Number
Email Address
Telephone Number
mark.gogel@cummins.com
( 812 ) 753-3571
Kim@wrayradio.com
( 812 ) 753-3571
Pursuant to IC 6-1.1-12-44, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O 1. Will this property be the buyer's primary * O 3. Homestead
residence? O ® 4. Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated C ® S. Wind Power Device
for this residence? If yes, provide address: C ® 6. Hydroelectric Power Device
Address (nitimber an stree n Q ® 7. Geothermal Energy Heating or Cooling Device
4JA
lea d ZIP Code �- county /� / _ I Cat — �\ _ Lt\ _ C g L�?— t)0�
Ci yZiintbrmadon,
8
ies of pequ h reby c rti that this Sales isclosure, to the best of my knowlledge anndd belief, is true, correct, and complete
law, and is In accordance with IC 6-1.1-5.5_ A person who knowingly and intentionally falsifies the value of
y prepared
eal property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
SSN1Driver's LkensOD/Other Number is necessary onlyifa Homestead Deduction is being filed.)
uyer�r 1 e � ^ / Si ature of Buyer 2/Spou l
Printed Legal Name of Buyer 1 Sign Date (MM/D !YY) Ptinted Legal Nartb of Bu9et--VSpdusb SicjO Date (MM/DD/YY)
Mark R. Gogel 7/15I2026 Kimberly D. Lankford-Gogel 07/15/2026
Last 5 Digits of Buyer 1 SSN/Driver's License/ID/Other Number Last 5 Digits of Buye 2/Spouse SSN/Driver's License/ID/Other Number
a I o I
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