Homestead_Fulk (2) 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
Barbara J. Liddle a/k/a Barbara Jo Liddle
-
Address(number and street) Address(number and street)
2248 W 50 S ��
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 ��
4 .....):46
Country Country -,¢%"1
GIBSON 2Q
E-mail address
best of my knowledge and belief,is tr Zee t a d complete as
required by law,and is prepared in accor ance with IC 6-1.1-5.5.A person who knowingly and intentionally falsi 1 .clue of transferred
real property,or omits or falsifi ' y'nfo ation required to be provided,commits a Level 5 felony. y
Signature of Seller Signature of Seller `Uj>
I ) ��(GVL�JI,-tad �z ��� ?
printed Name of Seller Date signed(mm/dd/yyyy) `Printed Name of Seller Date signed(mm •./yyyy)
Barbara J. Liddle I i 0 ', (;.3-2-
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
Beau Tyler Fulk Emily LaCretia Fulk
Address(number and street) Address(number and street)
2248 W 50 S 2248 W 50 S
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
GIBSON GIBSON
E-mail address
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary 00 3. Homestead
residence? O O 4.Solar Energy Heating or Cooling System
Q O 2.Does the buyer have a homestead to be vacated CI O 5.Wind Power Device
for this residence? If yes,provide address: 0 0 6.Hydroelectric Power Device
Address(number and street) O p 7.Geothermal Energy Heating or Cooling Device
6800 Oakmont Ct
City,state,ZIP code476 and county (A6'\1-11 _3 O°-OO O 1-3 - O 2 g
Newburgh, IN 47630 � _
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
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