Homestead_Kramer (3) H. PREPARER
Preparer of the Sales Disclosure Form Title
Shannon Valiant C5c-42Ok^-) o 9 ce.V..—
Company
I. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
John Patrick Weber Peggy Cecilia Weber
Address(number a street) Address(number and street)
9 .5 J< GC r 2150 East Forest Court
Cit State a d ZIP "ode i bj. > City, State and ZIP Code
" Clinton, IN 47842
Country Country
0.5i0sUSA
E-mail address
real property,or omits or falsifies any Information required to be provided,commits a Level 5 felony.
Sn rie o S y� ICLArC�1 / ) d ^ Slgnajyye off Seller-
)?
Pri d,Name of Seller`' Date signed(mm/dd/yyyy)tr.- 12Printed Marne of Seller Date signed(mm/dd/yyyy)
Join Patrick Weber _ 1)-1,2_,aG . Peggy Cecilia Weber /v/r/f 21:"X7
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
Calebddr sKramer FILED
Address(number and street) Address(number and street)
406 E. Haub St. >
City,State and ZIP Code City, State and ZIP Code OCT 2 0 2022
Haubstadt, IN 47639
Country Country //L�-.7i�,/ a /�,-� )
United States of America �j a.
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 residence? # ❑ 3. Homestead
0 -EP 4. Solar Energy Heating or Cooling System
El2. Does the buyer have a homestead to be vacated for 0
51, 5. Wind Power Device
this residence? if yes, provide address:
❑ 1 6. Hydroelectric Power Device
Address(number and street) ❑ D 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code,and county 1i -\q '- r 0l—OOO ---O o Q
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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