Homestead_Small H. PREPARER
Preparer of the Sales Disclosure Form Title
Pamela Partenheimer Mick Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
219 N Hart St, PO Box 13, Princeton, IN 47670
I. SELLER(S)/GRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conve ce document
JOSEPH H. DEGENHART HARRY L. DEGENHART
Address(number and street) Address(number and street)
654 GREENVIEW DRIVE
City,state,and ZIP Code City,state,and ZIP Code
EVANSVILLE, IN 47711 40eC,
Country Country t.
VANDERBURGH •
VOO, 2 )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belie'tr •r ect and complete as
required by law,and is prepared In accordance with IC 6-1.1-5.5.A person who knowingly and intentionally .ie value of transferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
Sig ture of Sell� ^ Signature of Seller
rinted ame of Seller Datel pign cj gryyy) Printed Name of Seller Date signed(mm/dd/yyyy)
JOSEPH H. DEGENHART ff 55 HARRY L. DEGENHART
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
JOHN SMALL
Address(number and street) Address(number and street)
109 N Tennessee St
City,state,and ZIP Code City,state,and ZIP Code
Hazleton, IN,47640
Country Country
GIBSON
deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O 1.Will this property be the buyer's primary O 0 3.Homestead
residence? O O 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: 0 O 6.Hydroelectric Power Device
Address(number and street) O E 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
26-02-0- toi -00o. o1-‘._ otti -
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