HomeMy WebLinkAboutHomestead_Ashworth H. PREPARER
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Preparer of the Sales Disclosure Form Title
Kelly E Norton Settlement Agent
Company Email Address
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Address (number and street, city, state, country, and ZIP Code) i
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 conveyance document
Brian D. Camden, Jr. Katherine L. Camden
Address (number and street Address.(number and street)
CY q g c ) a 411'6 ii) PAL c
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City, , and ZIP code /( )
City, Sta and ZIP Code
A la 't . 10yinceitv)iitu V74: -7;
Country Country
US US
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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 felo .
Signature of Seller Sigr re ;Seller I ' -
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Printed Name of Seller Date Signed (mm/dd/yyyy) Printed Name of Seller Ill. I es; • gne (mm/dd/yyyy)
Brian D. Camden, Jr. 09/02/2025 Katherine L. Camden 09/0 r 5
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENQ�Yr4 L O._1 T APPLY
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conveyance •• ument
Adam Ashworth _ Haliegh Ashworth ( ,
Address (n ber ap0 str ) Address ( umber Fde199 �‘_
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City(Stayt,Ancl ZIP Code City, State, and ZIP Code TOR
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Country Country
US US
. YES NO CONDITION YE NO CONDITION
® 1. Will this property be the buyer's primary ® O 3. Homestead
residence?
O (g) 4. Solar Energy Heating or Cooling System i
0 / 2. Does the buyer have a homestead to be vacated
D ® S. Wind Power Device
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for this residence? If yes, provide address: O G� 6. Hydroelectric Power Device
Address (number and street) ❑ N 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County \() ,..) 2____0 'q _ - - ,
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Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete