Homestead_Unfried (2) ' H. PREPARER
Preparer of the Sales Disclosure Form Title
Kelly E Norton Settlement Agent
Company Email Address
Address (number and street, city, state, country, and ZIP Code)
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 conve ance document
Margaret J. Rexing, a/k/a Margaret J. Hillard
Address (number and street) Address (number and street)
5765 W. 800 S. 14 i
City, State, and ZIP Code City, State, and ZIP Code
Owensville, IN 47665 8 -
Country Country 2s
US
Email Address
of my knowledge and bellee10? rrect, and complete as
required by law, and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and Intentionally' a value of transferred
real proper omits or falsif nformation required to be provided, commits a Level 5 felony. O_l_
Si natur of elle{ "h'g �'� �.� _ Signature of Seller
/
/ 71,..
Prifited Kam er to fined (mmidd/yyyy) Printed Name of Seller Date Signed (mmidd/yyyy)
Margaret J Rexi , a/k Margaret J_Hil ' 8/26/2025 08/26/2025
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
Britt Untried
Address (numlaer and stre J Address (number and street)
Ci ty, State, and ZIP Code City, State, and ZIP Code
CAILK.not 1
t 1\i Li-khc5
Country Country
US
for certain deductions. Identify all of those that apply: I1
YES NO CONDITION ES NO CONDITION
1. Will this property be the buyer's primary ,
Q 0 3. Homestead
residence? ri
i 0 (g 4. Solar Energy Heating t' Cooling System,
O . Does the buyer have a homestead to be vacated 0 at) 5. Wind Power Device
for this residence? If yes, provide address: 0 al 6. Hydroelectric Power Device
Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the 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. (Note: Bath spouse's