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Homestead_Morgan H. PREPARER Preparer of the Sales Disclosure Form Title Claire Kincaid - _ Settlement Agent Company , Address (number and street, city, state, country, an ZIP Code) 4799 Rosebud Lane, Newburgh, IN 47630PT hL,P.LID, _______ I. SELLERS)/GRANTOR(S) Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Gary Brent Sweeney _ Regina Ann Sweeney 1]EC 1 1 2025- - I Address (number and street) Address (number and street) 6358 N. State Road 65 6358 N. State Road 65 City, State, and ZIP Code - City, State, and ZIP Co-dY424c.„/LezzL Hazleton, IN 47640 Hazleton, IN 47640 GIBSON ['p�. .d._ Co Country Ty AUDITOR US US 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 re I property, or omits or falsifies any information required to be provide commits a Level 5 felony, -t. to o6 Selies -- i of Seller / - ��' X,' t. L V dam(_ i C-h/{> - .,C.s L Printed me of r Date Signed mm/ Printed Name SellerDate m r 9 ( �/YYYY) S+g � YYYy) Gary Brent Sweeney i 12/04/2025 l / Regina Ann Sweeney 12/04/2025 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 Ashlyn Nicole Morgan , Wesley Martin � um�a�ndsV )oo ,..h. A s6um rldo- gstr ee � t)h pci . cilf, State, and IP Code City, State, and ZIP c9de itilu suo IN1- 4--DA-c) c_ 47ii.,,.)svrite /Ni. 41170 Fvc Country Country US _ US YES NO CONDITION ES NO CONDITION 1. Will this property be the buyer's primary 0 3. Homestead X 0 residence? Q (X 4. Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated O ® 5. Wind Power Device 0 for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device Address (number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County C) - o Y. --1 L-1� 0- 00o. I� q - 0 \4 • Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete