Homestead_Perry (24) 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 c eueE
Debra A. Schmitt 1110
11
Address(number and street) Address(number and stree
700 Tretter Park Dr
-
City,state,and ZIP Code City,state,and ZIP Code MNN( 1 3 ZOZZ
Fort Branch, IN 47648 ilk
Country Country y d '2 UD R
GIBSON
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.
Signatur oZer /J 157�) Signature of Seller
Printer ame of Seller ("(J Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Debra A. Schmitt 05/11/2022
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
Timothy R. Perry Jeanne E. Perry
Address(number and street) Address(number and street)
508 W Christian St 508 W Christian St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country
Country
GIBSON
( 0
( )
D 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:
1 YES NO CONDITION YES NO CONDITION
Ni
fi- 1.Will this property be the buyer's primary O 0 3.Homestead
(J O O 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
O El O for this residence?If yes, provide address: O O 6.Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
827 S Hall St
City,state,ZIP code,and county l
—' Princeton, IN 47670 _/d _v7^ 303 -L"Lr7- 3 gs -dig
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