Homestead_Vazquez 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) -
.
Rosebud Lane, Newburgh, IN 47630
i. SELLERS)/GRANTOR(S)
Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document
Angela D. Branham
Address (number and street) Address (number and street)
309 S. Stout St. 1
City, State, and ZIP Code City, State, and ZIP Code - ~P__
Princeton, IN 47670
Country Country
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.
Signattyt�e of Seller , , -
- I Signature of Seller -- - -f Aii.ii'06/a / / d/r: '‘/7//d/4(
Printed Name of Seller Date Signed (mm/dd/yyyy) I Printed Name of Seller Date Signed (mm/dd/yyyy)
Angela D. Branham 12/19/2025 , _ 12/19/2025
J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTION - D ;LL THAT APPLY
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appea cony: -Ti*- .: meet
Hector Vazquez
Address (number and street) Address (number and s,)F' )
415 E. 6th St. --- �,!!yy 0 '
City, State, and ZIP Code City, State, ar1d,ZIP Code Z - - -
Mill Shoals, IL 62862
Country - -- - - Country y/ ON - —
, c- z, ./
US covy7I',,
to apply for certain deductions. Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1. Will this property be the buyer's primary D 3. Homestead
residence?
0 C 4. Solar Energy Heating or Cooling System c--(..
-
2. Does the buyer have a homestead to be vacated 0 Lil 5. Wind Power Device
for this residence? If yes, provide address' 0 ® 6. Hydroelectric Power Device
Address (number and street) 0 ® 7. Geothermal Energy Heating or Coaling Device
City, State, and ZIP Code County
12:---L I Lk0 2— 000. l 4 --)-- =0 2_3.
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 p
transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
Information, SSN/Driver's Lic_ense/ID/Ot,,Number is necessary only if s Homestead Deduction Is being filed.)