Homestead_Toone H. PREPARER
Preparer of the Sales Disclosure Form Title
Claire Kincaid 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 conveyance document
Robert J.Hamilton,II
Address(number and street) Address(number and street)
105 N.2nd St.
City,State,and ZIP Code City,State,and ZIP Code
Francisco,IN 47649
Country Country
US
Email Address
best 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.
Signat re of Seller Signature of Seller
0✓ % - L
Printed Name'Seller Date Signed(mmlddlyyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Robert.).Hamilton,II 06/02/2025 06/02/2025
J. BUYER(S)JGRANTEE(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
Justin H.Toone ILE
Address(number and street) Address(number and st11
155 Dusty Rd.
•
'City,State,and ZIP Code City,State,and ZIP Code
Boonville,IN 47601 JUN � � 2025
Country Country
US
NO CONDITION YES NO CONDITION
�_� 1.Will this property be the buyer's primary ® 0 3.Homestead
residence? 0 ® 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated D Ill 5.Wind Power Device
for this residence?If yes,provide address: 0 CO 6.Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
Z6-)3 IC\ 9-3 _ 000. IS3 -oo�
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct,and complete i
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.(Note:Both spouse's
t ' Y