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HomeMy WebLinkAboutHomestead_Stevens H. PREPARER 1 Preparer of the Sales Disclosure Form Title I_ Kelly E Norton Settlement Agent _ _ _ _ Company Bosse Title Comc�any � , , Address (number and street, city, state, country, and ZIP Code) 4799 Rosebud Lane, Newburgh, IN 47630 1. SELLER(S)/GRANTOR(S) Seller 1 - Name as it appears on conveyance document Seller 2 - Name as appears on conveyance document Cathy A. Grollimund _ Rebecca L. Buck Address (number and street) Address number and street) a.s-. A-E: LQ 3..__Lact li r�o LJ i O i \'_1, 70 o City,Stpte, and ZIP C9cle City,ptate. a ZIP,Code Icj-e-f.)6_It tOY) i ! Ki Li 6 °(eLl /A-4/4di''.' 6 Wri / i/V ' 7735(7, Country Country Us us Email Address 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 proferty, or omits or falsifies any information required to be provided, commits a Level 5 felony. Signaat(4re o Seller .. f J -. Signature of Seiler . rL C�f�C! - ;1 �L 3�t c�c,� % _. 1 71 6 '.,''!- (4( 'mi r�..c-.1, /- - Printed Name Seller Date Signed (mm/ddfyyyy) Printed Name of Seller Date Signed (mm/dd/yyyy) l Cathy A. Grollimund 12/30/2025 Rebecca L. Buck 12I 2Q25 _ J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY T P Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conveyance docu Jay_P. Stevens Debra J. Stevens - JAN V/1 _- Address (number and street) Address (number and street) b U26 • 1076 E. 350 S. 1076 E. 350 S. City, State, and ZIP Code City, State, and ZIP Cod/ Princeton, IN 47670 Princeton, IN 47670 Catlin_ CO �G Country Country (J ' r u s q v0/1 US O,q Emelt Address T YES NO CONDITION ' YES NO CONDITION 1. Will this property be the buyer's primary Cil 0 3. Homestead ® ❑ residence? O ® 4. Solar Energy Heating or Goofing System ❑ 2. Does the buyer have a homestead to be vacated O t 5. Wind Power Device 0 ;. <fi for this residence? If yes, provide address: O i ) 6. Hydroelectric Power Device :HMP` Address (number and stree ❑ (ij 7. Geothermal Energy Heating or Cooling Device Ci),y,State, andZIP Code d County .fr /r- ,,ear) , - 7 10 2 6- 19 -to 2 -3oa -002 5 L, L) -- © L -- Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete 1 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: Both spouse's