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Homestead_Bender (4) H. PREPARER --- ___._._._.- ____ . Pre /er of.the Sales Disclosure Form µ 1 Titi \, _ / ---- �' "�- eiiL r ile,(`Y ', - A 1/ Company t 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 con n Nicholas J.Bender Mark J.Bender Address(number and street) Address(number and street) 7061 W.1000 S 11350 Lowe Rd JUN 0 4 2025 City,State,and ZIP Code City,State,and ZIP Code Cynthiana,IN 47612 Cynthiana,IN 47612 • Country Country 1t',7 iyt4) US US GIBSON COUNTY AUDITOR 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 fa •ifles any information required to be provided,commits a Level 'felony. SigQ S er Sig. ofS: er � Printed Name of Seller if Date Signed(mm/dd/yyyy) Panted t+lame of Seller Date Signed(mm/dd/yyyy) el Nicholas J.Bender 05/19/2025 Mark J.Bender '� 05/19/2025 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 Gabriel Bender Adeleen Bender Address(number and street) Address(number and street) 84 W.800 S#4110 84 W.800 S#4110 City,State,and ZIP Code City,State,and ZIP Code Fort Branch,IN 47648 Fort Branch,IN 47648 Country Country YES. NO CONDITION �f ©1.Will this property be the buyer's primary ' 0 3.Homestead residence? p ® 4.Solar Energy Heating or Cooling System © -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) o ® 7.Geothermal Energy Heating or Cooling Device City,State,and ZIP Code County -n- 2S--Zoo- oos.S 2a- -o21 ,.-�� ! G - 1 410 i., �ti ;t --- r -- ,i' ha (C.....- -) A