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Homestead_Paul (2) • H. PREPARER Preparer of the Sales Disclosure Form Title Claire Kincaid Settlement Agent Company Address(number and street,city.stale,country,and ZIP Code) 4799 Rosebud Lane,Newburgh,IN 47630 I. SELLER(S)/GRANTOR(S) Seller 1-Name as it appears on conveyance document Seller 2--Name as appears on conveyance document Estateof Karen F. Paul FILED Address(number and street) Address(number and street) 2364 E.750 S. City,state,and ZIP Code City.state,and ZIP Code Fort Branch,IN 47648 APR 0 2022 Country Country US e_,sn' �,/� 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. i n lure of Seller Signature of Seller 'e l(t y�' Printed N. , e off$ Date signed(mmidd/yyyy) Printed Name of Seiler Date signed(mm/ddiyyyy) Megan F.Paul, Personal Representative 04/05/2022 04/05/2022 J. BUYER(S)/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 Justin D.Paul A d ss(number and street) Address(number and street) -64 U E —150 Ci state. ZVI/I l Cr), t N 41 l IP Code City.state,and ZIP Code Country �r7J t■/ Country US ( ) 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 1.Will this property be the buyer's primary 0 3. Homestead residence? 4, ® 4.Solar Energy Heating or Cooling System © ) 2. Does the buyer have a homestead to be vacated © CB 5.Wind Power Device for this residence?If yes.provide address: 0 (21 6.Hydroelectric Power Device Address(number and street) 0 3 7.Geothermal Energy Heating or Coaling Device City.state.ZIP code,and county a/ t t l_ 6 _1 _4 - qw-Cal/91 f0-71 _ b,D5 Under penalties of perjury,I hereby certify that this Safes 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 5 Digits of Buyer 2/Spouse SSN/Driver's License/lDlOther Number Page 3 of 5 C 0 P4(