HomeMy WebLinkAboutHomestead_Evans (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
Ashley C Whitehead
Address(number and street) Address(number and street)
302 W Third St
City,state,and ZIP Code City,state,and ZIP Code
Patoka, IN, 47666
Country Country
gibson
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 fSellh Signature of Seller
Printed Name of Seller
Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Ashley C Whitehead n/Ic/a Ashley G Wright 05112023
J. BuvER(s)IGRANTEE(s)-APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTLI. , L AT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on env an doc.irtr"
Matthew J Evans
Address(number and street) Address(number and street)
302 W Third St
City,state,and ZIP Code City,state,and ZIP Cod .,.. 023
Patoka, IN, 47666 ,„
Country Country y c,..,,. ..7.
gibson s'L/Airry
for certain deductions.Identify all of those that apply:
YES NO CONDITION . YES NO CONDITION
1.Will this property be the buyer's primary 2 0 3. Homestead
E 0 residence? 0 C) 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 CD 5.Wind Power Device
0 0 for this residence? If yes, provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 a 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
CXe_-10%-k-..4 -10%. /C)Up O . Q110
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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