HomeMy WebLinkAboutHomestead_McIntire H. PREPARER
Preparer of the Sales Disclosure Form Title
Pamela Partenheimer Mick Attorney
Address(number and street,city,state,country,and ZIP Code)
219 N. Hart St, P.O. Box 13, Princeton, IN 47670
I. SELLERS)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document
Seller 2—Name as appears on conveyance document
Thomas Edward Mitchell
Address(number and street) Address(number and street)
1033 S. Stout St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
Gibson County, USA E-mail address
the best of my knowledge and belief,is true,correct and complete as
required by law,and is prepared In accordance with
real property,or omits or falsifies any infomationrreq bed to be provided, ommits a Level 5 felony�onally falsifies the value of transferred
Signature of Seller Signature of Seller
PrintedN me Seller l Date signed(mm/dd/yy) Printed Name of Seller I Date signed(mm/ddyyyy)
T i . '7"Gf1. c4 yy 12/16/2021
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDE ' L P>
Bu er is niamP_a appears on conveyance document Buyer 2—Name as it appears o nv a e min
Lindsey Mclntira�Y'
scoaress(numoerdh street) Address(number and street) JAN 1 9 2022
7984 E SR 64
City,state,and ZIP Code City,state,and ZIP Code
Francisco, IN 47649 f�l�afi<Ze.f L2.14016:724J
Country Country GIBSON COUNTY AUDITOR
Gibson County, USA Telephone number
for certain deductions.Identify all of those that apply:
YES NO CONDITION O`CONDIT
1.Will this property be the buyer's primary
( ( 3.Homestead
residence? 0 (id 4.Solar Energy Heating or Cooling System
O VI 2. Does the buyer have a homestead to be vacated 0 m
5.Wind Power Device
for this residence? If yes,provide address: 0 CA 6. Hydroelectric Power Device
Address(number and street) 0 21 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County A
iP --/a is' - a 44 - O 0/. ..3 -O #- e
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
3