Homestead_Meier (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Claire Kincaid
✓✓
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 document
Brenda L.Hoefling _
Address(number and street) Address(number and street) pi-LEI525 W.State Road 68
City,State,and ZIP Code City,State,and ZIP Code
Haubstadt,IN 47639 MAr
Country Country ' 4024
US
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Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,fsl(_ �w,and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally fats "atp o value of transferred
re property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
i natu of Seller Signature of Seller
17611.
ri ed Name of Seller ate Signed(mmldd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
renda L.Hoefling 05/28/2024 05/28/2024
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
Zachary P.Meier Emmaly Meier
Address(number and street) Address(number and street)
525 W.State Road 68 525 W.State Road 68
City,State,and ZIP Code City,State,and ZIP Code
Haubstadt,IN 47639 Haubstadt, IN 47639
Country Country
US US
YES NO CONDITION YES NO CONDITION
0 1.Will this property be the buyer's primary ' 0 3.Homestead
residence? 0 ® 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 'Lf
I Y -3 C-u03 -000. .3 zo -0
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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