Homestead_Martin (32) 111
---7~ _H. PREPARER Preparer of the Sales Disclosure Form Title
Kelly E Norton Settlement Agent
Company Email Address
Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Lane,Newburgh,IN 47630
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance t
Kenya Ann Wade
Address(number and street)104 Address(number and street) -4,(&.,
S.Elm St.
City,State,and ZIP Code `— ~City,State,and ZIP Code ~
Fort Branch,IN 47648 �6'
Country Country ('O2 fl
US G/eSON /�
Email Address
?� — ''q� -
Uder penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,Is true,correc[,/-i . omplete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the vaiu• of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
Prin,ed me Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Kenya Ann Wade 02/02/2024 i 02/02/2024
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY JI
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Kvale P.Martin Emily A. Martin
Address(number and street) Address(number and street)
5847 W.450 S. 5847 W.450 S.
ch' City,State,and ZIP Code City,State,and ZIP Code
L__Owensville,IN 47665 Owensville,IN 47665
�i Country Country
I US US
r-
i ( 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:
w YES NO CONDITION YES NO CONDITION
• ® O 1.Will this property be the buyer's primary al ID 3. Homestead
• residence?
C 0 ® 4. Solar Energy Heating or Cooling System
Q Ar O 2. Does th O 1e buyer have a homestead to be vacated 5.Wind Power Device
for this residence? If yes,provide address: 0 (2 6.Hydroelectric Power Device
Addripailm and tre t Es5tersI O R 7. Geothermal Energy Heating or Cooling Device
1 C1ty�Q!to I / Al1Codq Count is 0" IS —l3 -1-1 l 0t1—0 0 0 ?71-1 —026
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
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