Homestead_Latshaw H. PREPARER '
Preparer of the Sales Disclosure Form Title
Claire Kincaid Settlement Agent
Company .
4799 Rosebud Lane,Newburgh,IN 47630
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I. SELLER(S)IGRANTOR(S) , .
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears nwiTice document
Charles David Mair,Jr. Debra L.Mair
Address(number and street) Address(number and street)" 4.4..../
PO Box 618 PO Box 618
City,State,and ZIP Code ' City,State,and ZIP Code „.
Owensville,IN 47665 Owensville,IN 47665 JUN h z
Country Country u Y 2025c,
US US ../-.
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of my knowledge and belief,Is t •: h•44P/m) ct,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 tile value of transferred
fe4 property,or omits or falsifies any information required to be provided commits a Level 5 felony.
içjhaJjce of Seller - „ i natu fSeller
_
0..k4.4-fl,Ait'"AfiefnefiatIZIZ.--
ri ed Name of Seller
Date Signed(mmkid/yyyy) -90-p ....oleter ' 11 at-w
ed Name of Seller
Date Signed(mm/dd/yyyy)
Charles David Mali',Jr, 05/29/2025 Debra L.Mak 05/29/2025
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J. BUYER(S)IGRANTEE(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
Cade D.Latshaw
Address(number and street) Address(number and street)
8440 Somers Rd.
City,Stale,and ZIP Code City,State,and ZIP Code
New Harmony,IN 47631 ' -
Country Country
US
apply for certain deductions.Identify all of those that apply: _
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YES NO CONDITION XE No0 3COHNoDmITeIOstNead
1.Will this property be the buyer's primary
residence? \ 0 21 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 NI 5.Wind Power Device
0 for this residence?If yes,provide address: 0 Gii 6.Hydroelectric Power Device
Address(number and street) 0 (i) 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
(2- 2-o00 . 2-64,-02.2_
Under penalties of perjury,I hereby certify that this Sales Disclosure,to t e best of my knowledge and belief,Is true,correct,and complete
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.': ••: - :' X .,.