Homestead_Weber (5) 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 conveyance document
Charles E. Ferguson FILED
Address(number and street) Address(number and street)
219E Water St
City,state,and ZIP Code City,state,and ZIP Code MAY 1 0 2022
Princeton, IN 47670
Country Country may, sl+
Gibson / F2`'A -J a. J� ``
/
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 intentionally falsifies the value of transferred
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
Signature of S (ler Signature of Seller
Ci P�ntteedde`_Nametoof Sellersignedyyyy) Date signed(mm/dd/
Date (mm/dd/ Printed Name of Seller 9 yyyy)
OANYIeS VetAveSo( Ds)DS7 2.02.2-
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
Gregory John Weber
,,,Ad-di 7nTm'rber andstreet)— Address(number and street)
219 E Water St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670
Country
ountry
Gibson
mail address Telephone number
l'ur53uant 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
O 0 3.Homestead
O residence? y Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 C) 5.Wind Power Device
0 0 for this residence?If yes,privide address: 0 t 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 6_/.2 _ a 7 _ Limo f _Gob /_ a z" _ O.t
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