Homestead_Hornby I.H. PREPARER
I Preparer of the Sales Disclosure Form Title
Kelly Norton :(.1 settlement&gent.
Company Email Address
.0os6Q'pile Corr sAni - __ _ -
Address(number and street,city,state,country,and ZIP Code) "-
4799 Rosebud Lane,Newburgh,IN 47630
...,.._..
1.SELLER($)/GRANTOR(S) ....._.-..,.
I
Seller I-Name as it appears on conveyance document _.,_ Seller 2-Name as appears on conveyance document
TL( 21,LLC
Address(number and street) Address(number end street)
1501 The Oaks Dr.
City,State,and ZIP Code City,State,and ZIP Code -
Maitland,FL 32751
Country Country -.
US
._
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.
Sr. -
ller -1 C z ( 1 Signature of Seller
• bed Name of Seller l Date Signed(mm/ddlyyyy) I, Printed Name of Seller ',:to Signed(mm/dd/yyyy)
J.Alex Bruggenschmidt, fl 05/28/2024 I 0 r 4
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL •
tBuyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears ance docume
O
dSvey
Brady J.Homb. _ ��
Address(number and street) Address(number ebt) - 0�7/
7045 S.Division St. /,eSn,-
City,State,and ZIP Code City.State,and ZIP Code Co j -/ -
Oaldand City,IN 47660 `40 _ _
OR
Country
certain deductions.Identify all of those that apply: 1
YES NO CONDITION YES HO CONDITION
1.Will this property be the buyer's primary ® 0 3.Homestead
® O residence?
0 ® 4.Solar Energy Heating or Cooling System
0 2.Does the buyer have a homestead to be vacated 0 ( 5.Wind Power Device
for this residence?If yes.provide address: 0 (R) 6.Hydroelectric Power Device
Address(number and sheet) 0 ( T.Geothermal Energy Heating or Cooling Device
City,State.and ZIP Code COunty -2 0 - 1 ti -3 d -O3 0 O .006. _
3
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