Homestead_Dyer --- _____.
LH. PREPARER 1
-
Preparer of the Sales Disclosure Form Title
Jan Weldy Settlement Agent
. Company
Address(number and street,city,state, country,and ZIP Code)
412 E.Flora St,V/ashington,IN 47501
I. SELLER(S)/GRANTOR(S)
__________ ------—
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Laura L.Griffin
Address(number and street) Address(number and street)
414 W Columbia Street
City,State,and ZIP Code City,State,and ZIP Code . 1)
Oakland City,IN 47660 • • .
1 Country Country 40/:
US 1,
C 41t.
• Email Address Telephone Number - Email Address Q afelephone Number
( )
•._ -v 06410,
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge an I fjfkse,correct,and complete as
required by law,and Is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and Inten alajlirtr:)the value of transferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. tti)
Signature of Seller Signature of Seller ir?
•
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm(dd/yyyy)
• Laura L.Griffin 08/08/2025 - 08/08/2025
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
Megan Dyer
Address(number and street) Address(number and street)'
12713 E 200 S
City,State,and ZIP Code City,State,and ZIP Code
Oakland City,IN 47660
1 Country Country
1 US
1
( )
Pursuant to IC 8-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION Yg NO CONDITION
1.Will this property be the buyer's primary 0 3.Homestead
residence? 0 ( l 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 G31 5.Wind Power Device
0 El for this residence?If yes,provide address: 0 l 6.Hydroelectric Power Device
Address(number and street) 0 (XI 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County —
1 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete
40,
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