HomeMy WebLinkAboutHomestead_CoomesH. PREPARER _ -
Preparer of the Sales Disclosure Form
Title
Kelly E Norton
Settlement Agent
Company
Email Address
Telephone Number
Bo a 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 conveyance document
Garrett N. Dean
Shayna R. Dean
Address (number and street)
Address (number and street)
Eij
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 Tele hon Number
garrettndean@gmail.com ( 812 ) 598-9739 GIB2% 0
SON-
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Under pat iiltles of perjury, I hereby certify this Sales Disclosure, to the best of my knowledge and belief, is true, col` , &WWm {ete 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, Car omits or falsifies any information required to be provided, commits a Level 5 felony.
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SigRattl of Seller
Printed Name of -Seller Date Signed (mm/ddlyyyy) PrintecMame of Sell r �['Date Signed (mmfdd/yyyy)
Garrett N. Dean 07/09/2026 Shayna R. Dean 07/09/2026
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
-„Bryce Coomes _ ,
Audrey Coomes
Address (number and street)
Address (number and street)
377 N. Sycamore Rd.
377 N. Sycamore Rd.
City, State, and ZIP Code
City, State, and ZIP Code
Taswell, IN 47175
Taswell, IN 47175
Country
Country
us
u5
Email Address
Telephone Number
Email Address Telephone Number
( 812 ) 890-5454
audreycoomes914@gmail.com ( 812 ) 613-6035
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:
YES NO CONDITION YES NO CONDITION
® 0 1. Will this property be the buyer's primary ® D 3. Homestead
residence? Q ID 4. Solar Energy Heating or Cooling System
kf 2. Does the buyer have a homestead to be vacated 0 ® 5. Wind Power Device
Y°! for this residence? If yes, provide address: p CO 6. Hydroelectric Power Device
Address (number and street) i Q (g 7. Geothermal Energy Heating or Cooling Device
City, State, and ZIP Code County I a� _1 U _ 01 l 1 - 0( j - '?)C)Q -Oa'�
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
transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
information, SSWDriver's LicenseMlOther Number is necessary only if a Homestead Deduction is being filed.)
Signature of Buyer 1
Signature of Buyer 2/Spouse
Printed Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Na a of Buyer 2/Spouse Sign Date (MWDD/YY)
Bryce Coomes 7/9/2026
Audrey Coomes 07/09/2026
Last 5 Digits of Buyer 1 SSN/Dr!v License/ID/Other Number
Last 5 Digits of Buyer 2/Spouse SqN/Drivers License ID/O Number
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