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Homestead_Mahinay H. PREPARER Preparer of the Sales Disclosure Form Title Chastity Biggs _ __ Title Services Company Email Address Address (number and street, city, state, country, and ZIP Code) 4799 Rosebud Ln_, Newburgh, IN 47630 Address SELLER(S)/GRANTOR(S) Seller 1 -Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Maleko Mahinay _ i Lindsey Mahinay Address(number and street) I Address (number and street) boo N �,1/4 Y' \\• �~� : , E ( 5149 E. 1050 S. City tate, and ZIP Code City, State, and ZIP Code k ,‘ ' -, Ri R O - Haubstadt, IN 47639 _. Country Country LAS A Email Acjd/ess 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 fays any Information required to be provided, commits a Level 5 felony. - Signature of Seller Signaycrre of S 1Ior l Printed Name of Seller,; Date Signed (mm/dd/yyyy) Priptgd Name of Seger Date SignedAmmlddfyyyy) Maleko Mahinay Li Cal Lindsey Mahinay1 'I2 ' Z o 2 $ I J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY 1 - , Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conveyance document Lindsey Mahinay Address (number and street) Address (number and str 5149 E. 1050 S. City, State, and ZIP Code City, State, and ZIP Code Haubstadt, IN 47639 J _4(:) Country Country 1N 1 for certain j I�ient_I ? t'1 of those that apply: YES NO CONDITION YES NO CONDITION -��0 / CO O 1. Will this property be the buyer's primary (2) 0 3. Homestead f0R residence? 0 (D 4. Solar Energy Heating or Cooling System O j 2. Does the buyer have a homestead to be vacated 0 © 5. Wind Power Device for this residence? If yes, provide address: 0 Q 6. Hydroelectric Power Device Address(number and street) 0 CO 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County Q() -2-3 -01 �- 9-00- 002 . ?� 4 - 024 . 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