Homestead_Heininger H. PREPARER _ ___Preparer of the Sales Disclosure Form Title
Kett'E Norton Settlement Agent
Company Email Address
Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Lane,Newburgh,IN 47630
I.SELLER(S)IGRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on cony rile'%+% t ntChristopher A.Cagle
Address(number and street) Address(number and street) -6.1 ,
1511 N.Willowbrook Dr. Dee +
City,State,and ZIP Code City,State,and ZIP Code 0 c
Princeton,iN 47670 ✓ 4(1 4
Suntry Country /eSO Q 7
best of my knowledge and belief,Is true,corn cnd 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 of .11er"--- . Signature of Seller
/.
Pri me of Seller to Signed(mmldd/yyyy) Printed Name of Seller Date Signed(mm/dd1yyyy)
ChristopherA Cagle 12/04/2024 12/04/2024
J. BUYER(SuGRANTEE(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
Steven T.Helninoer Carlotta J.Heininger
Address(number an st
reet) Address(number and street
" k. l�r' 1 /i/ Ni street).
.
Gity/ t t i alp al4P- , iiv -I 7117'Code City.State,xid ZIP Code/l)/1, /Ai (17(e 7Z6
Country /Jam, Country
US US
YES NO CONDITION YES NO CONDRION
U 1.Will this property be the buyer's primary ill 0 3.Homestead
residence? 0 ►i 4.Solar Energy Heating or Cooling System
4 O 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
Add ber and street) 0 GB 7.Geothermal Energy Heating or Cooling Device
Mid.CiV,State,and ZIP Code
151 //1 yW,,077 County fXb l2_-06- 4t 0 2-OO(1 . 3 54- -d 23.
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete
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