Homestead_Cherry H. PREPARER
Preparer of the Sales Disclosure Form Title
Claire Kincaid Settlement Agent .
Company • ,
4799 Rosebud Lane, Newburgh, IN 47630
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Virginia L.Field
Address(number and street) Address(number and street) pi
107 E.Walnut St.
City,State,and ZIP Code City,State,and ZIP Code -.4&
_60
Owensville, IN 47665
Country Country 466 22
US rf7e4phone
knowledge and is.ir correct,and complete as
required by law,and is prepared In accordance with IC 6-1.1- .b5.A person who knowingly and lntentio e value of transferred
property,or omits or falsifies any lnformatlo requi to be provided,commits aLevel Sfelony. /Tin
iil
nature ofSelbr '1 ��
Signature of Seller R
nted me of SellerM r 1 d/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Virginia L.Field 'Wr14 id W• 08/21/2023 08/21/2023
J, BUYER(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
Linda S.Cherry
�j n Franklin J. RoederAddress /� b
5506(number
Cl Cif ff 1 Feld 2 'mt idtrg�t bwl h /mod•
City,State,an ZIP Code .City,State,a ZI/�/v�,��'/
t�oY ov+ m eas, �Z �I� ouh no�, iN41 �20
Country Country
US US
Pursuant to 106-1.1.12-44,the$ales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
CX O 1.Will this property be the buyer's primary 0X 3. Homestead
residence? 0 (10 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 a( ,`-1 -1 Z-z i -0 o o_ .S s -o Z
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the beat of my knowledge and belief,Is true,correct,and complete
as required by taw,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
Page 3