Homestead_Partenheimer (3).. � V
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SalaOfulasureForm
Addrm� (Numberand Sveel)
Princeton. IN 47670
Ciry, State, and7JP fade
Vemer P Partenheimer
Seller 1- Nome as appmrs on aonveyance dacumm[
721 � N Main St
Addrm (Numbv and StrM)
Ciry, Smte, and LP Cade
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t �f. . . . _ _ _
Title
Canpany
E-mail
. < ti;_ �1, _ ' _ •. . _ � r . . ,
Shce7 - Name as appmrs w mnvryuncedocummt
Addres(NUmMandSVre[J
Ciry, Sm[q and ZIPCade
Under penaldes of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is trve, correct
and plete as required by law, aud is prepared in accordance with IC 6•1.1-5.5, "Real Property Sales Disclosure Act".
�����.�i11������ I
o(wlrl
Bvyc I- Nome as aypeors
Srarq andLPCode
TNE SAIES DISdOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DmUR10N5
Q � 1. Will this property be the buyer's primary
residence? Provide complete address of F
residence, including wunty:
1914 N Main
Addim' [Numla and SbeetJ
Princeton IN 47670 Gibson
Ciry, Smte7JPCade Counry
��✓ 2. Does the buyer have a homestead in Indiana to be
vaca[ed for this residence? If yes, provide
complete address of residence heing vacated,
including tounty:
Address (Numbo and Streel)
Caunry
sg�amKO/seuv
9uya I- Name as oppears om m�veyance dacumen[
Addrm (Nvmber and Strret)
Liry, StntG andDPLade
7NOSETFIATAPPLY.
❑ 3. Homestead
-��'-4.-SefareT e� Heating/Cooling System
� [� 5. Wind Power Device
� 6. Hydroelectric Power Device
❑ —/ 7. Geothermal Energy Heaung/Cooling Device
� �8. Is this property a residendal rental property?
� 9. Would you ]ike to receive tax statements for [his
proper[y via e-mail? (Provide contact informadon
below. Please see instrucdons for more informatlon.
Nat availa6le in all cauntles.J
�� -/� -aG -/� s�-oo� .0 9S`Da�
v.fmo.vn.o mawnermmm�name E-mail
Under penalties of perjury. I hereby certify that this Sales Disclosure, ta the best of my Imowledge and belief, is trve, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Drivers License/Other numbers are not necessary if no Homestead Deducdon is
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