Homestead_Morton 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., P. O. 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 conveyance document
Monty Parke
Address(number and street) Address(number and street)
12087 Base Road
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660
Country Country
Gibson-USA ���99
E-mail address
l�
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 intentionaII felisileOf a of transferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony. 11'''"GG��
Signature of Seller / — Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller OIgSON COI1Od/yYYY)
Monty Parke .� --/� -A04Aa.
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
Brandon Morton Laramy Morton
Address numberan street) Address(number and street)
/a 0•'l ,E- 'C load / t 2r7 t /Sass, `Road
City,state,and ZIP Code City,state,and ZIP Code
Oct Cda.rtcl CAA' r I A) 4f7(0!e 0 Da I and G ty l 4-17(e(0 9
Country' Country ��
S U
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES, NO CONDITION
1.Will this property be the buyer's primary I v3.Homestead
residence? . 0 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: p O 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
/6?0 Lv o? S ar7,(7117 ..fi'di ri 4 4ri Ve—, e7
Cu state,ZIP code,and county 1 „1 1 Q d— O /�X �'', O 6.
g lies of p / //V 1f`7 55 of l t l o u
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
information,SSN/Driver's License/ID/Other Number is necessary if a Homestead Deduction is being Fled.)
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