Homestead_Vondersaar H. PREPARER
Preparer of the Sales Disclosure Form Title
Claire Kincaid Settlement Agent
Company •�
4799 Rosebud Lane,Newburgh,IN 47630
I. SELLERS)/GRANTOR($)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance d um 46)
Ronnie Shea Dillon,II
Address(number and street) Address(number and street)
717 E.Evans St. /D/Q G41)
City,State,and ZIP Code i City,State,and ZIP Code /
Princeton,IN 47670 C'/e 7
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Country Country `SOS Q
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Under penalties of perjury,I hereby certify 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
a property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
naturfe''to Seller c /,/ 77
Signature of Seller
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n ed Name of a ler ate Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
'Ronnie Shea Dillon, II 03/28/2024 03/28/2024
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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 Vondersaar
i Address umber and str t) Address(number and street)
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i—Qr blAVii 9101-
City $tievin Z Coden i N 4_1_1 t, City,State,and ZIP Code
Country 1`` Country
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apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary 1K' O 3.Homestead 1( residence? O GiCl 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
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