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HomeMy WebLinkAboutHomestead_DeanH. PREPARER Preparer of the Sales Disclosure Form Title MIN E Norton Settlement Agent Company Email Address Telephone Number Bosse Title Company ( 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 ya cum n The Estate of Mary Lou Watkins Address (number and street) Address (number and street) 6093 E. 390 N. ��� , 0Q?c City, State, and ZIP Code - - City, State, and ZIP Code Francisco, IN 47649 Country Country US GIBSO Email Address Te phone Number Email Address 7e ep ber c ( �i 3K 1l I c ) Under penalties of perjury. I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete as require by law, and is preparet� i' accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of transferred real pro, rty, or omits or falsifies any inforrnatlon required to be provided, commits a Level 5 felony. _. - - - -- ....- _._ ture r .. SignaSellerj Signature of Seller Ic- Printed me of Seller Date Signed( d/yyyy) Printed Name of Seller Date Signed (mmldd/yyyy) Jane E. Vickers, Personal Representativ -1 �1 07/, 1312026 07113/2026 _ 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 Garrett N. Dean Shavna R. Dean Address (number and street) Address (number and street) 107 S. First St. 107 S. First St. City, State, and ZIP Code City, State, and ZIP Code Owensville, IN 47665 Owensville, IN 47665 Country Country US US Email Address Telephone Number Email Address Telephone Number garrettndean@gmail.com ( 812 ) 598-9739 shaynadean20l7@gmaii.com ( 812 ) 598-9739 Pursuant to IC 6-1.1-1244, the Sales Disclosure Form may be used to apply for certain deductions. Identify all of those that apply: YES NO CONDITION YES NO CONDITION O 1. Will this property be the buyer's primary O 3. Homestead residence? I O ® 4. Solar Energy Heating or Cooling System 2. Does the buyer have a homestead to be vacated O ® 5. Wind Power Device for this residence? If yes, provide address: O ® 6. Hydroelectric Power Device _ Addrns un!! i and t� �1 t O ® 7. Geothermal Energy Heating or Cooling Device 7 C' -State, and 71P Cod County i 1TSu1 Ply (N 41Q4C -c -�.n-� 1oc�-�Ll. laC0-oj_1 t7nder penaires of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete by law, as requi and is prepared in accordance with IC 6-1.1-5.5. A person who knowingly and intentionally falsifies the value of trans real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's i inigrrn tion, SS Drive,! icensOD/Other Number is necessary only ifa Homestead Deductignis being fled.} jyn ture of uv r 1 re of Buyer 2/S Ns a ! = 15' R `led Le + Name bf Buyer Sign -Date (MM/DD/YY) Printed Legal I �tne of Buyer 2/Spouse Sign Date (MM/DD/YY) "Garrett N. Dean _ _ _ _ _ _ 7/13/2026 - Shayna R. Dean 07/13/2026 - t 5 Djgiss- of Puyer 1 SSN/DriversLicense/ID_//Othprr umber .4 Last 5 Ugi4Aof�Suyer 2/Spouse SSN(Drive s License/ID/Oth Nu r Page 3