Homestead_Fehrenbacher (2) H. PREPARER
Preparer of the Sales Disclosure Form 1 Title
Claire Kincaid Closing Agent
Company
Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Ln., Newburgh, IN,Warrick, 47630
I. SELLER(S)/GRANTER(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on ve n document
Joshua A.Beasley
Address(number and street) Address(number and street)
ED
77668 S US Highway 41
City,state,and ZIP Code City,state,and ZIP Code SEP
Fort Branch, IN 47648 2 ?4?3
Country Country
USA 8SO e Q
best of my knowledge and belief,is true,corr9eand 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
rea property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
i ature of Sy er r Signature of Seller
P ted Name eUer C� Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Joshua A. asley 9/16/2023
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
Luke Fehrenbacher
Address(number and street) Address(number and street)
929 W.Wortman
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch,IN 47725
Country
Identify all of those that apply:
YES NO CONDITION YR NO CONDITION
XIrk
1.Will this property be the buyer's primary ❑ 3.Homestead
❑ residence? LAA let ph I l,j ❑ ❑ 4.Solar Energy Heating or Cooling System
❑ 2.Does the buyer have a homestead to be vacated ❑ El 5.Wind Power Device
for this residence? If yes,provide address: ❑ 0 6.Hydroelectric Power Device
Address(number and street) D El 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county File/e /e1?9 eVet/�t i h �k-er h 4Jfl.e Oh
2 l� - l g- 2(4-Z.oZ-003 Q- 024, �'
City,state,ZIP code,and county L4A lee+ Oh_r_—�.•.-
�✓ 2- -lo -ZL1-Z02--O ).+440-dtC
Last Digits of Bu�1,SSN/Drive�License/ID/O�um er � � Last 5 D'ygits o(Buyer 2/Spouse SSN/Driver's License/I Other umber
ly^i11 l Il p4 iff�Y�LpC A�/'7if J�f�,�h Jj/�p-S IY/t`t//t�wit
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COMMERCIAL OR INDUSTRIAL PROPERTY 2 '''' /8-211 _2o L - UUU --1—LtO —024.
F. SALES DATA — Complete only those that apply.
O Information