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HomeMy WebLinkAboutHomestead_Munnier (2) H.PREPARER Preparer of the Sales Disclosure Form ---- 4 TWO Claire Kincaid _ Address(number and street,city.state,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 Chelsi J.Hughes LED Address(number and street) _ Address(number and street) 1 606 E.Ulen St. -1._.._- ' City.state.and ZIP Code ( City.state,and ZIP Code AUG 3 '0 2022 Fort Branch, IN 47648 {}1 Country Country , US .— !'% J a. /Y 2ina) ` Under pa toes of perjury.I hereby certify this Sales Disclosure.to the best of my knowledge and belief,is tree,Correct and complete as si 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 tea operty,or omits or falsifies any information required to be provided,commits a Level 5 felony. i ui lien --� Signature of Seiler •. r, ted N• e .S der 1 Date signed(mm/dd/yyyy) Printed Name of Seller Dale signed(rrmlddlyyy y) 08/29/ 8/29/2022 J. B J.Hugh -APP _ TION2022 R___� ` 0ATAPP J. BUYER(SUGRANTEE(S)--APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1-Name as It appears on conveyance document I Buyer 2-Name as it appears on conveyance document Kathelyn Kinsall Munnier -r_ Bryan MunnierhiA d ss(number and street) dres tuber and street) e pv Ci and ZIP Coda eri Country Cit .state,and ZIP Code (40 1�ll��5 ![LLL4TL( 3o Country US US YES NO CONDITION _[ )7? NO CONDITION . 001.Will this property be the buyer's primary 0 3. Homestead /SA`. residence? 1 0 (N 4.Solar Energy Heating or Cooling System _ t 2.Does the buyer have a homestead to be vacated 5.Wind Power Device t7O for this residence? If yes,provide address: i [� [t 6.Hydroelectric Power Device i✓A�fress{ Asa eraat o� Dv. t 0 CD 7.Geothermal Energy Heating or Cooling Device C' !p code,an arty G— tct -l $ -,g 02 -O b 0. :-3 3 -026. Under pertaltles of reby certify that this Sallee Dfacleacure,to the best of my knowledge and babel,to 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 -.—._____. Page 3 of 5