HomeMy WebLinkAboutHomestead_Goforth 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
Kerry Goforth
Address(number and street) Address(number and street)
364 S 325 W
City,state.and ZIP Code City,state.and ZIP Code
Princeton, IN 47670
Country Country
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. .5.A person who knowingly and intentionally falsifies the value of transferred
real prope or omits or falsifies any information re o be provided,commits a Level 5 felony.
Signa re of S / Signature of Seller
Printe ame of Seller Dat ned(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Kerry Goforth 09 06/2023
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS- Y ALL THAT APPLY
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it app rs o o eyance document
Kaci Goforth
Address(number and street) Address(number and str t)
211 W Warnock oep 4.4e)
City,state.and ZIP Code City,state.a IP Code I J
Princeton, IN 47670 ?0?3
Country Country O
Gibson CO"',,•
for certain deductions.Identify"ll of those that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary O 0 3. Homestead
residence'? 0 O 4. Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence? If yes, provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 O 7.Geothermal Energy Heating or Cooling Device
City.state,ZIP code,and county ^c - 2 - 06-
304 ` 002 06
5 C