Homestead_Ziller 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 nve n doc
The Estate of Christopher S. Ziller .(
Address(number and street) Address(number and street) .D
1322 Phillips Road SEp
City.state.and ZIP Code City.state.and ZIP Code 9 2023
Boonville, Indiana 47601
Country Country
Warrick GigSON c Q
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.
Signature of Seller /l Signature of Seller
x i�IC4L Cl X 4 i/'t / , g
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Michael J.Meuth,Personal Representative 09/12/2023
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
Janine Ziller
Address(number and street) _Address(number and street)
204 3rd Ave COp
City.state,and ZIP Code City,state,and ZIP Code
Princeton, IN,47670k.
Country Country
Gibson
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O 0 1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
0 0 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) O O 7. Geothermal Energy Heating or Cooling Device
City.state.ZIP code,and county C ^ Li-G03 .3 `7 I _0 a
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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