Homestead_Lantero H. PREPARER
?reparer of the Sales Disclosure Form 1 Title
Claire Kincaid Settlement Aent _ -.,
mp-
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 Seiler 2—Name as appears on conveyance document
IPB LLC
Address(number and street) Address(number and street)
1501 Burnett Lane ,
City.state,and ZIP Code City,state,and ZIP Code
Vincennes, IN 47591 + — —_ r
Country
ountry
oder les 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
Pr rty,or omits or fa Kies any Mfonnatio quired to be provided,commits a Level 5 felony.
nature 1
/ Signature of Seller
l �^� Printed Name of Salver Date signed(mmldd/yyyy)
Na of Seller f to (rrurr7d�YYYY)
LAifie Jean Brock,sole member I` 12/12/2022 — 12/12/2022
I.J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears an conveyance document Buyer 2—Name as it appears an conveyance document
Brittnie Lantero
r Address(number end street) Address(number and street)
6255 S.650 E.
City,slate,and ZIP Code _ T Clly,state,and ZIP Code '
Fort Branch,IN 47648 -- -- ---- —il
Country Country
to apples r
YES NO CONDITION captain deduetlons.iderrNfy ell of those that amply-
1 YES NO CONDITION
4
's y 1.Will this property be the buyers primary 0 0 3.Homestead
residence'? D pit 4.Solar Energy Heating or Cooling System
2.Doss the buyer have a homestead to be vacated 0 ® 5. Wind Power Device
1 O yL for this residence?If yes,provide address: Q ® 6.Hydroelectric Power Device
Address(number and street)LL - 0 DI 7.Geothermal Energy Heating or Cooling Device
f City,state.ZIP code,and county 6—` 'B -t3 -1-10 2 — O O 0 _q-S—Z — 02