Homestead_Schutte (4) j H. PREPARER
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)/GRANTOR(S) ?�
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance docum
Benjamin Workman 4/Q y
Address(number and street) Address(number and street) / .4e)
7998 S.Andee Ln. C/� 3,
City,State,and ZIP Code City,State,and ZIP Code `QOA.- ;"1y
Fort Branch,IN 47648 O Q
Country Country ')"
US '9 (1`�� l
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.
Signature .$eiler_ �� Signature of Seller
Printed . .,-11.of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Benjamin Workman 03/20/2024 03/20/2024
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
Blake Schulte
Address(number and street) Address(number and street)
7997 S.Andee Ln.
City,State,and ZIP Code City,State.and ZIP Code
Fort Branch,IN 47648
Country Country
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:
YES NO CONDITION YES NO CONDITION
X O 1.Will this property be the buyer's primary O 3.Homestead
residence? O (XI 4. Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated O al 5.Wind Power Device
for this residence? If yes, provide address: 0 ga 6.Hydroelectric Power Device
Address(number and street) O N 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
)6—AC - )C( - 103--o 01 . 1 8E - O