Homestead_Riley (8) 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 cony ce document
Dakota T. Giesler
Address(number and street) Address (number and street)
903 S Robin St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN,47670 4,3p�
1
Country Country J
Gibson G/�S` ?�13
` c0�Q ( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief? ,rrect and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5,A person who knowingly and intentionally value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony. Ori'
Signature of Seller� "gyp Signature of Seller
f ec�'1L :rXJ�"V
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Dakota T. Giesler 04.-13-2v23
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
Tanner Dylan Riley
Address(number and street) Address(number and street)
903 S Robin St -City,state,and ZIP Code City,state,and ZIP Code ,ii a y
Princeton, IN, 47670 rt `
it
Country Countryaffro
Gibson 4,
YES NO CONDITION p
O O 1.Will this property be the buyer's primary O 0 3. Homestead 0-) o
residence? O Q 4. Solar Energy Heating or Cooling firaiiN '`- .Q
2. Does the buyer have a homestead to be vacated ID E] 5.Wind Power Device °'� z
O O for this residence?If yes, provide address: 0 O 6. Hydroelectric Power Device it....) ,-1��,,�, — p
Address(number and street) O 0 7.Geothermal Energy Heating or Co lOI Ilg Uevic� Z
0
City,state,ZIP code,and county 41151
p co
Under penalties of perjury,I hereby certify that 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.(Note:Both spouse's