HomeMy WebLinkAboutHomestead_Hirsch (3)H. PREPARER
j Preparer of the Sales Disclosure Form
Title
Kelly E Norton
Settlement Agent
Company
Email Address
Telephone Number
Bosse Title Com an
( 812 ) 421-4000
Address (number and street, city, state, country, and ZIP Code)
4799 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
Brandon S. Wright Natalie M. Wright
Address (number and street)
Address (number and street)
312 N. Vine St.
312 N. Vine St.
City, State, and ZIP Code
City, State, and ZIP Code
Haubstadt, IN 47639
Haubstadt, IN 47639
Country
Country
us
us
Email Address
Telephone Number
Email Address
Telephone Number
bwright@nixcompanies.com
( 812 ) 664-3358
natter07@gmail.com I
( 812 ) 664-7273
Under penalties of perjury, 1 hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete as f
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
J real property, or omits or falsifies any Information required to be provided, commits a Level 5 felony.
Si re of Seller ;;:;A--;�7 Signature of Seller
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Printed Name of Seller Date Signed (mm/dd/yyyy) Prihtdd Name of Seller Date Signed (mm/dd/yyyy) f
I
Brandon S. Wright 06117/2026 Natalie M. Wright 06/17/2026
J. BUYERS)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY Aj,� THAT APPLY -
Buyer 1 - Name as it appears on conveyance document Buyer 2 - Name as it appears on conve '!+' c en
Bryan Hirsch _ _ _ Elizabeth A. Hirsch
Address (number and street) Address (number and street)
6242 s 325 w
--JULity, State, and ZIP Code City, State, and ZIP JU Code 2 3 2026
Fort Branch, IN 47648 U
Country Country
us us !'
Email Address
i Telephone Number
Email Address ON
d19 p
II ( 812 ) 457-0230
lizhirsch77@gmail.com
( 81r2 1%&K66B7
Pursuant to IC 6.1.1-12-44, the Sales Disclosure Form may be used to
apply for certain deductions. Identify all of those that apply: f
YES NO CONDITION
YES NO CONDITION
(1 O 1. Will this property be the buyer's primary
® ED 3. Homestead
residence?
O ® 4. Solar Energy Heating or Cooling System
O ® 5. Wind Power Device
® O 2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
p ® 6. Hydroelectric Power Device
p ® 7. Geothermal Energy Heating or Cooling Device
26-19-31-3 01-000.225 -009
1 i
Addres (,n/urDber d stree j _
CQ�S
City State, and Code coy ty
FOR f%.�� ��, l � 476 r'�
Under penalties of neriury Ch—hv certify that thin nnioc nicein—re to the heat of my L—Vilerine nnrl helief is true en—t —1 cmmnleha II
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
information, SSA/Driver's License/ID/Other Number is necessary only if Homestead Deduction is being riled.)
Signature of Buyer 1 N 1 Signature of Buyer 2/Spouse_
ob i �� ' 20a0 eCC�Gtit� ��• ������./�7/zoz�
Printed Legal Name of Buyer 1 Sign Date (M /DD/YY) Printed Aal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Bryan Hirsch 6/17/2026 Elizabeth A. Hirsch 06/17/2026
1 SSN/Drivel's License/I Other N ber Last 5 Digits of uyer 2/Spouse SN/Drivers LiceOse/ID/ t tuber
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