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Homestead_Lile H. PREPARER Preparer of the Sales Disclosure Form Tile Claire Kincaid Settlement Agent /� �/ / /�►, 4799 Rosebud Lane,Newburgh,IN 47630 I.SELLERS}IGRANTOR(S} - -- Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document Paul W.Higgins,Jr. Melissa D.Higgins Address(number and street) Address(number and street) 1900 E.1200 S. 1900 E. 1200 S. .,,, -+ City,state,and ZIP Code City.state.and ZIP Code Haubstadt,IN 47639 Haubstadt,IN 47639 Country Country required by law,and is prepared in accordance with IC 6-4_1-5.5.A person whoal �r a ?1X,or omits or falsifies s�+y information required to be provided, ml a Level 5 felony. 1u�e d eper d S n of• Iles . - trier six.... j f Date signed(mm/drdryyyy) N• 'e of Seller __{((( ate signed(mmlddl'y+yyy) I Melissa, Hi ins i 12/15/2022 Paul W.Higgins,Jr. 112/15/2022 ,� 99 J. BUYER(S/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTI AA r D Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on Ronnie Lile Allison Lea Lile DEC 2 0 2022 Address(number numberand stnaeU Address(number and street) 1900 E.1200 S. 1900 E.1200 S. 2.____. City, City,slat stale.and ZIP Code state,and ZIP Code a. �/� ) Haubstadt, Haubstadt,IN 47639 IN 47639 GIBSON,COUNTY AUOITOi: Country yUS US TI. (�/ to applx_, ,. YES NO CONDITION YES NO CONDITION 1.Will this property be the buyels primary J�`q'C( 0 3.Homestead O residence? 0 CB 4.Solar Energy Heating Or Cooling System O 2:Does the buyer have a homestead to be vacated p ® 5.Wind Power Device for this residence?If yes,provide address: © ® 6.Hydroelectric Power Device Iv(number and street) p ® 7.Geothermal Energy Heating or Cooling Device (o kYVVIGIVi t ct- City,slate,5141 CA IP code, and oou7�N �� �1 ��-2 3 -Oct-3 0 o-c�n l .1�-2 -uz� Under penalties of penury.I hereby certify that this Sates 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 Page 3 COPY