Homestead_Moyer H PREPARER
Preparer of the Sales Disclosure Form Title
J. Robert Kinkle Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
219 N. Hart Street, Princeton, IN 47670
SELLERS)/GRANTOR(S) : , :
l_
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Michael T. Wenzel _Shannon L. Wenzel
Address(number and street) Address(number and street)
315 S. Gibson Street 315 S. Gibson Street
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
USA USA
E-mail address
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 i5.5.A"person who knowingly and intentionally falsifies the value of transferred:;
real.property,='or omits or falsifies;any information;required to-be'provided,commitsa Level 5ifelony.
Signature of Sell r Si a e of p,rr
ed Name of Seller Date signed(mm/dd/yyyy) P- ted Name of Seller Date signed(mm/dd/yyyy)
Michael T. Wenzel 2/19/2021 Shannon L. Wenzel 2/19/2021
,J BUYER(S)/GRANTEE(S) - ,APPLICATION FOR PROPERTY TAX DEDUCTIONS IDENTIFY"„ 'AT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on col•/ytnt, do ume
Kara L. Moyer
47-2)
Address(number and street) Address(number and street)
315 S. Gibson Street FED a 3
' City;state,and ZIP Code City,state,and ZIP Code 1021
Princeton, IN 47670
USAry Country G/u SON CO'CO 1J
E-mail address
- ( )
!Pursuant to jo6,;1_,1 12-44,the Sales,Disclosure,Form maybe used to apply.for certain deductions. Identify.all,of those thatjapply, _.
YES NO CONDITION YES NO CONDITION
91 O 1.Will this property be the buyer's primary 0 O 3.Homestead
residence? 0 (21 4.Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 WI 5.Wind Power Device
for this residence?If yes, provide address: 0 RI 6.Hydroelectric Power Device
Address(number and street) 0 RI 7.Geothermal Energy Heating or Cooling Device
City,state,and.ZlP Code County
�t/d-off o - DOS.1.20 - oG2i
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