HomeMy WebLinkAboutHomestead_Maurer (5)H.PREPARER
Preparer of the Sales Disclosure Form
Title
Claire Kincaid
Settlement Agent
Company �.p /+
A
W
mail Address
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Telephone Number
( 812) 421 4000
Title Com an t Li p t�
Address (number and street, city, state, country, and ZIP Code)
4799 Rosebud Lane, Newburgh, IN 47630
I. SELLERS)/GRANTOR(S1
Seller 1 - Name as it appears on conveyance document
Seller 2 - Name as appears on conveyance document
I
Shannon H. Dunn, f/k!a Shannon H. Jackson
Address (number and street)
Address (number and street)
2092 N. Carithers Rd.
_
City, State, and ZIP Code
City, State, and ZIP Code
Princeton, IN 47670
Country
Country
US
Email Address
Telephone Number
Email Address
Telephone Number
haleyshannon812@gmail.com
( 812 ) 677-2453
( )
_
Under penalties of perjury, I hereby certify 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
reaf property, or omits or faisifiesA►y information required to be provided, commits a Level 5 felony.
natue Seller
Signature of Seller
n
Pr ted Name of Seller
Date Signed (mm/dd/yyyy)
Printed Name of Seller
Date Signed (mm/dd/yyyy)
Shannon H. Dunn, Me Shannon H. Jad
08/07/2026
08/07/2026 i
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENJIFY L TH PPLY
v
Buyer 1 - Name as it appears on conveyance document
Buyer 2 - Name as it appears on conv-eyAre
T) I
Logan M. Maurer
—
Address (number and street)
Address (number and street) 4ug
2264 E. Warrenton Rd.
2((20
City State, and ZIP Code
City, State, and ZIP C
Haubstadt, IN 47639
_-
Country
Country OV'�
�qU
US
Email Address Telephone Number
Email Address
YeWone Number
maurerlogan5@gmail.com ( 812 ) 205-4241
( )
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
YE S1 NO CONDITION
O 1. Will this property be the buyer's primary
r D 3. Homestead
residence?
On ® 4. Solar Energy Heating or Cooling System
0 ® 6• Wind Power Device
2. Does the buyer have a homestead to be vacated
0
for this residence? If yes, provide address:
p ® 6. Hydroelectric Power Device
Q ® 7. Geothermal Energy Heating or Cooling Device
Address (number and street)
City, State, and ZIP Code County
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
tranpsferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note. Both spouse's
in.ormation, SSN(Driver's Licensel/D/Ofher Number is necessary only if a Homestead Deduction is being filed.)
rnature of Buyer 1
Signature of Buyer 2/Spouse
Pn ted L' gal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MMIDDlYY)
Logan M. Maurer 8/7/2026
08/07/2026
Last 5 Di Its of BUYtTriver's Li e s ID//ther N 2,
i Last 5 Digits of Buyer 2/Spouse SSN/Drivers License/ID/Other Number
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