Homestead_Kirslis H. PREPARER
Preparer of the Sales Disclosure Form Title
Claire Kincaid
Address(number and street,city,state,coun ry,and P Code)
4799 Rosebud Lane,Newburgh, IN 47630
I. SELLER(S)IGRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on convey document
Jesse A.Bowens
Address(number and street) Address(number and street)
820 S.Stormont St. ti
City,State,and ZIP Code City,State,and ZIP Code qp� r
Princeton,IN 47670
Country Country 82,23
of my knowledge and belief,is tru , nd complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentionally falsifies lue of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
• lure of Seale Signature of Seller
•
anted Name o Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Jesse A.Bowens 04/25/2023 04/25/2023
J. BUYERS)/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
Daniel M.Kirslis
i C��s(number and street) Address(number and street)
a \V) ppt
to and ZIP C de City,State and ZIP Code
City, V\1 l N 41(fl O
Country Country
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION E NO CONDITION
1.Will this property be the buyer's primary O 3.Homestead
residence? O ® 4.Solar Energy Heating or Cooling System
O 2.Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
for this residence?If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County 6 ...1 2—� 2- 9 Q 2g .
2— dd O B ^
Under penalties of perjury,I hereby certify that 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 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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