Homestead_Webb H. PREPARER
Preparer of the Sales Disclosure Form Title
Kristina Watson Settlement Agent
Company I E-mail address
Address(number and street city.state.country,and ZIP Code)
4799 Rosebud Lane,Newburgh, 1N 47630
I. SELLER(S}/GRANTOR(S)
Seller 1-Name as it appears on conveyance document . Seller 2-Name as appears on conveyance document
BillieRoberts
AdFIT ,ED
Addressss(number and street) Address(number and street)
6860 S.SR 165 i
City,state,and ZIP Code I.
City.state.and ZIP Code MAY 17 2022
Owensville,IN 47665
Country f Country f a.
US ni
itth cGIBSON CO JI�IT U e nurn
E-mail address
( )
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 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.
Sigma ur feel r ! cio � Signature of Seller
Printed eme of Seiler Date signed(mm/dd/yyyy) i Printed Name of Seller Date signed(mm/dd/yyyy)
i
Billie Roberts 05/13/2022 i 05/13/2022
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer t-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Phillip Andrew Webb Glenda R.Webb
Address(number and street) Address(number and street)
2792 O'Hunter Ave. 2792 O'Hunter Ave.
City.state.and ZIP Code I City.state.and ZIP Code
Newburgh,IN 47630 Newburgh.IN 47630
Country i Country
US i 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 ACONDITION f NO CONDITION
1.Will this property be the buyer's primary O 3.Homestead
O residence? 0 ® 4_Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 5.Wind Power Device
for this residence? If yes.provide address: 0 ® 6.Hydroelectric Power Device
Add s.A(number and street) O CD7.Geothermal Energy Heating or Cooling Device
,/�
City.state.ZIP code.and county I
0. ABli-ch—rt-- Crk.411 WGr L e.D aC -11- 17 -too- 90. .. 880 - o24
Under penalties of perjury.I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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