HomeMy WebLinkAboutHomestead_Kramer (2)H.PREPARER
Preparer of the Sales Disclosure Form
Title
Company (�j /� ddre _ In (�(�p ,(��� Telephone Number
Bosse Title Company l! llJtv ' �" "'yl �� ,. I 1 Q JJG W ! Y 1 ( $12 ) 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
Trey C. Novak
Mekayla E. Novak
Address (number and street)
Address (number and street)
204 W. Franklin Ln. II
204 W. Franklin Ln.
-
- _1
City, State, and ZIP Code
City, State, and ZIP Code
Fort Branch, IN 47648
Fort Branch, IN 47648
Country
Country
us
us
Email Address Telephone Number Email Address Telephone Number
tcnovak99@gmall.com ( 812 ) 608-1798 wolfem98@gmail.com ( 812 ) 870-9064
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
_re.�at_.property, or omits or falsifies any information required to be provld d fcommits a Level 5 felony.
36nature of Sellers!?I
S nature of Seller
PfriritVName of Seller Date Signed (mm/dd/yyyy) P,finled Name of Seller Date Signed (mm/dd/yyyy)
Trey C. Novak 09/02/2026 Mekayla E. Novak 09/02/2026
J. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL THAT APPLY
Buyer 1 - Name as it appears on conveyance document 4
Buyer 2 - Name as it appears on o document
Robert Kramer
17.1
Address (number and street)
Address (number and street)
406 East Haub St.
City, State, and ZIP Code
City, State, and ZIP Code 1
E1
Haubstadt, IN 47639
�n
o 2 LU��
Country
Country
us
Email Address
Telephone Number
Email Address GIB O
SON Co
h ne Number
rjkremer655@gmail.com
( 812 ) 664-8225
II Pursuant to IC 6-1.1-12-44. the Sales Disclosure Form may be used to aooly for certain deductions. Identify all of those that bDDly:
YES NO CONDITION
YES NO CONDITION
X O 1. Will this property be the buyer's primary
x O 3. Homestead
residence?
O ® 4. Solar Energy Heating or Cooling System
O ® 5. Wind Power Device
K2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address:
O ® 6. Hydroelectric Power Device
O CO 7. Geothermal Energy Heating or Cooling Device
-1�-13- ICEL1-OZA.3�3-0�
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
transferred real property, or omits or falsifies any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
in rmation, SSWDriver s LfcensOD/0ther Number is necessary only if a Homestead Deduction is being filed.)
[naty of Buyer
Signature of Buyer 2/Spouse
PriNted Legal Name of Buyer 1 Sign Date (MM/DD/YY)
Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY)
Robert Kramer 912/2026
09/02/2026
st Digi s of jWyer 1 TYDriver's Licensel D/Other Number
ILP INL' -ZC6ULQ
Last 5 Digits of Buyer 2/Spouse SSN/Driver's LicenseAD/Other Number
Page 3