Homestead_Weber (4) 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.SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Habitat for Humanity of Gibson County, Inc.
Address(number and street) Address(number and street)
1302 W. Brumfield Avenue
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country Country
Gibson
the best of my knowledge and belief,is true,correct and complete as
required by law,and is •repared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
rea •ro•erty,or o ' J fees any information required to be provided,commits a Level 5 felony.
Sign- ur- ojSelle / Signature of Seller
f
-d Name . Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Stephens, hoard President
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 c eyance document
Sarah J.Weber
Address(number and street) Address(number and street)
1122 S Race St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 414k
Country Country
Gibson `SOV ?0c r- \
E-mail address
�T1'4��( )
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify alle that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary 0 O 3. Homestead
residence? O p 4.Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes, provide address: 0 0 6.Hydroelectric Power Device
Address(number and street) 0 CI 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county r
aLX2-I a-k oo .low ( - C a�
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