Homestead_Tenbarge (8) H. PREPARER _
Preparer of the Sales Disclosure Form I Title
Claire Kincaid Settlement Agent
Company +"
Address(number and street,city,state,country, and Z1P Code) J
4799 Rosebud Lane,Newburgh,IN 47630
I SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seiler 2-Name as appears on cony ai c�d
Richard E.Luigs and Gloria A.Luigs Revocable Living Trust
A re (nu�ber and strr4et) .� , Address(number and street)
4i1 C. ( _. _- _ __ .... DEC 8 --2412�
ity,slate,and ZIP Code I , City,state,and ZIP Code
CounGAM_. ? _1. .L _ ..�ti Country lute'a. a.Y.L na)
, ^ US GIBSON COUNTY AUDITOR
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. _ ______—__ ..-.
Signature�, of Seller sl�] 1 Signature of Seller
. Printed Name� Seller `= Date signed(mnyddf. yy) I Printed Name of Setter = Date signed(rnm/dd/yyyy)
Gloria A.Luigs,Trustee 12J05/2022 I 12/05/2022
J. BUYEJi(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
Michael F.Tenbarge
Address(number end street) Address(number and street)
I416 S.West St.
City,state,and ZIP Code City,state.end ZIP Code
Haubstadt,IN 47639
Country Country
US
i ( )
Pursuant to IC 6-1.1-12-44 the Sales Disclosure Form may be used to amity for certain deductions Identity all of those that amply:
OP ygg NO CONDITION ES NO CONDITION
I
1.Wilt this property be the buyer's primary 0 3.Homestead
!- residence? 0 GO 4.,Solar Energy Heating or Cooling System
in 2.Does the buyer have a homestead to be vacated0 ® 5.Wind Power Device
/ , for this residence? If yes,provide address: o 136 6.Hydroelectric Power Device
A dress tournber treat) .� 0 III 7.Geothermal Energy Heating or Cooling Device
` City,state. cafe,an county, C _'Z3- O(
' 1- � t/1 -C4 .+, //V 4-1Lp3q Gtbsetr301- Goo- 230 -00�
t Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowleedge and belief,Is true,correct and complete
�1 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
COPY