Homestead_Newcomb 1 H.PREPARER - - _ 1•Prepares of the Sales Disclosure Form I Title i
Claire Kincaid
.
4799 Rosebud Lane.Newburgh,IN 47630 I
I.SEL LER(S)/GRAfvTOR(S) --_ _
1 Seller I-Name as it appears on conveyance document I Sager 2-Name as appears on conveyance document
Estate of Shirley A.Higginson Estate of Shirley A Higginson
7
Address(number and street) Address(nurnbe,and street) i
526 S.Ninth Avenue T 526 S Ninth Avenue i
City.state.and ZIP Code } City.state.and ZIP Code Wa — 1
Haubstadt.IN 47639 ;I Haubstadt,IN 47639 I
Country Country
the best of my knowledge and better,is true,correct end 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
re property.or omits falsifies any information required to be provided commits a Level 5 felony.
n of er � naturtlof SelleL / (^ 1 ,z
\iglt
i y..nted Name of Seiler 1 Date signed( ' ' ) Punted Name of Seller i Date signed(mmfdd.'y. )
i n {}-��(77
!Mark A. Higginson,Co- . sonal Representative GI 14 • 0�Sheri L.Seaton Co-Personal Representative 01120 �v'2--
I J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY 7
Buyer 1-Name as it appears on conveyance document •Buyer 2-Name as it appears on conveyance document
i Sharon Newcomb
/tr��e FI
rj >7�V►n - 7�• Address(number arrd street) �,E
City,s/ttaa�te,and�+ ZIP Code ^' ` �� City.state.and ZIP Code SEP �
CD Country f 1�?vi IR.j I 1 v 4 Country 2. 0 20z2 //�
M us 1t 1 vl
CD i me�r
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. for certain deductions.identity aft of those thaq :
ES NO CONDITION -7 yvir,. NO CONDITION
M 1 e O 1.Will this property be the buyer's primary # 0 3.Homestead
}4; residence? i 0 3 4.Solar Energy Heating or Cooling System
Cr- I O 2.Does the buyer have a homestead to be vacated ! O CB5.Wind Power Device
Q. 1 for this residence?if yes,provide address: 0 3 6.Hydroelectric Power Device
O tAdd u rand7t)S,� i
,J�s,Sn n}bq„�V. 0 ® 7.Geothermal Energy Heating or Coding Device
t (�J��L�L.j? �tG i
L r Crty.slate, P nd n
i #�lOt h � � �I"11ZS VgivlotafbUt b 6-23 —06-2-00- 000• 13�— 00ct
--.7- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the of my knowledge and bedsit Is true,correct and complete
0 es required by law,and la prepared in accordance with IC 6-1.1-5.5.A person who knowingly and lntentsanaity falsifies the value of
I transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's
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