Homestead_Resenbeck H. PREPARER v —� -_ - _ __
Preparer of the Sales Disclosure Form Title Kristina Watson Settlement Agent
Company Email Address
Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Lane,Newburgh, IN 47630
i. SELLER(S)IGRANTOR(S) Pill
Seller 1-Name as It appears on conveyance document Seller 2—Name as appears on conveyan "' of •
Barbara A.Ziliak ,/V
Address(number and street) Address(number and street) d 2?700 E.Edinborough Ct. 2/23
City,State,and ZIP Code City,State,and ZIPS
Haubstadt,IN 47639 SO
Country Country NT,, e�
US ,46,-1TQ
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Under penalties 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
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
Sig lure of Seller _ Signature of Seller
1')d,;?o `D„tk41, L- ,
I .,
Printed Name of SellerDate Signed(mm/ddlyyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Barbara A.Ziliak 06/21/2023 06/21/2023
J. BUYER(S)IGRANTEE(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
Ryan M.Resenbeck Stephanie J.Resenbeck
Address(number and street) Address(number and street)
300 N Main St 300 N Main St
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch,IN 47648 Fort Branch,IN 47648
Country Country
US US
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
V0• YES NO CONDITION YES NO CONDITION
[\J O 1.Will this property be the buyer's primary 0 3.Homestead
p residence? 0 ® 4.Solar Energy Heating or Cooling System
0f-- O 2.Does the buyer have a homestead to be vacated 0 IR) 5.Wind Power Device
rf for this residence? If yes, provide address: 0 ® 6.Hydroelectric Power Device
s (number and street) O ® 7.Geothermal Energy Heating or Cooling Device
City.S te,and ZIP Code
N County
- - r ►cti —5-1u1tv�% x-let-31 -400-000 .93 --00,.i .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete
e�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
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