HomeMy WebLinkAboutHomestead_Riggle H. PREPARER
Preparer of the Sales Disclosure Form 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 J
I. SELLER(S)/GRANTOR(S) q - T
Seller 1 - Name as it amearsKconveyonce document Seller 2 - Name as appears on conveyance document
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Address ( and street) Address (number and street) _
S15', \ •�1So , __
City State, and ZIP Code City, State, and ZIP Code !
6\k) ILI-P6U i Le
Country t Country F4
05 18
Email Address
best of my knowledge and be- W O& . , o ct, and complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentional! a value of transferred
real pr.perty, or omits or falsifies any information required to be provided, commits a Level 5 felony. qU •
^Sign/re of Seller Signature of Seller �r5 - - - I
241c-
P'nte• Name of elleri , Date Signed (mm/dd/yyyy) Printed Name of Seller I Date Signed (mnn1dd/yyyy)
U , hq • ♦i p/ J 1, . 02/05/2026
J. B ER(S)/GRANTE I/- 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
Charles L. Riggle
Address (number and street) I Address (number and street) s
9753 W. 750 S.
City, State, and ZIP Code City, State, and ZIP Code
Owensville, IN 47665
Country i Country
US _ ___
apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION '
f ® O 1. Will this property be the buyer's primary : a 0 3. Homestead
residence? I0 CE 4. Solar Energy Heating or Cooling System
® 2. Does the buyer have a homestead to be vacated 0 CZ 5. Wind Power Device
for this residence? If yes, provide address: 0 Uil 6. Hydroelectric Power Device
Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code CountyT g,(0 _ i _ 2.1 ...... 2,0 0 _ 0 0 Li ,.., 33 _o II
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, Is true, correct, and complete
.. .,� • : 4.
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Signalure of Auditw ' Dala signed