Homestead_Vogel DocuSign Envelope ID:71924DE2-B87B-4BE5-8606-3D7AD92C4F02
H. PREPARER --- � J — _— - — � �-
Preparer of the Sales Disclosure Form Title
Claire K'.ncaid Set-lament Anent
Company
4799 Rosebud Lane,Newburgh,IN 47630
I. SELLERS)/GRANTOR(S) ,,.44, `� I
F Seller 1 -Name as it appears on conveyance document Seiler 2-Name as appears on conveyanke Ocument
Steven D.Mayes
Address(number and street) Address(number and street) ,: '"
501 S.Ninth Ave. //- ,�.0'
City,State,and ZIP Code City,State,and 4
Haubstadt,IN 47639 %&6, <
Country Country• CO CP
the best of my knowledge and belief,is t;rt i,correct,and complete as
requ d 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
al roperty,or4mlts or falsifies any Information required to be provided,commits a Level 5 felony.
ature of S�iler // Signature of Seller -'
° ri ed Name of Seller i Date Signed(mm/dd/yyyy) Printed Name of Seller ! Date Signed(mm/dd/yyyy)
teven D.Mayes ' 10/06/2023 10/06/2023
rJ. 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
Steven Howard Vogel Susan E.Frankenberger
Address(number and street) Address(number and street)
501 S.Ninth Ave. 501 S.Ninth Ave.
City,State,and ZIP Code City,State,and ZIP Code
ii Haubstadt,IN 47639 Haubstadt,IN 47639
1l Country Country V
IUS US
1.Will this property be the buyer's primary 0 3.Homestead
1' residence? 0 IX 4.Solar Energy Heating or Cooling System
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
•
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
legh se*
E