Homestead_Neyhouse H. PREPARER ---_
Preparer of the Sales Disclosure Form Title
Jan Weldv Settlement Agent
-Company
Address(number and street,city,state,country,and ZIP Code)
' 412 E,Flora St,_____Washington, IN 47501
I. SELLERS)/GRANTOR(S) T
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document 1
Gregory Allen Norrick Heather Marie Norrick
Address(number and street) Address(number and street)
I 111 S Gibson Street
" ,101 P .
City,State,and ZIP Code City,State,and ZIP Code
Oakland City,IN 47660 Oakland City, IN 47660
Country Country
US US
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. ,
S' nature of Sell . Sig re o Iler kler176W
Printed Name of Seller Date Signed(mm/dd/yyyy) P n ed Name of SeNer Date Signed(mm/dd/yyyy)
Gregory Allen Norrick 05/23/2025 eather Marie Norrick 05/23/2025
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 Fn yiceddD
Daniel R.Neyhouse Karen M.Nevhouse
{ Address(number and street) Address(number and street)
2342 E 250 5 2342 E 250 S r l
City,State,and ZIP Code City,State,and ZIP Code JUN 0 4 2025 \vim\
Washington,IN 47501 Washington, IN 47501
Country Country � �
US US �71cr.�j. I. „d.57A.3,,4.)
Email Address Telephone Number Email
YES NO CONDITION YES NO CONDITION
,tC, 1.Will this property be the buyer's primary O 3.Homestead
residence? 0 J 4.Solar Energy Heating or Cooling System
O 2.Does the buyer have a homestead to be vacated 0 IX 5.Wind Power Device
for this residence? If yes, provide address: 0 ® 6.Hydroelectric Power Device
Address(number and street) 0 IX 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County AA / yI—4 Q8 — 0 G • _O O
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledg= •nd bell: ,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 a • intenti• ally falsifies the value of
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