HomeMy WebLinkAboutHomestead_Winemiller 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 do a t �`
Sonia B. Padgett By Gretchen Taylor, POA
Address(number and street) Address(number and street)
1312 Poulos Ct 0`
City,state,and ZIP Code City,state,and ZIP Code �'i�
Stroudsburg, PA 18360 ' �!
Country Country O, - 49
OOG,
A.
E-mail address
of my knowledge and belief,is true,corre mplete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the a of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Gretchen Taylor, POA
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
Alyca Winemiller
Address(number and street) Address(number and street)
405 S Third St
City,state,and ZIP Code City,state,and ZIP Code
Owensville, IN, 47665
Country Country
gibson
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
O O 1.Will this property be the buyer's primary 0 3. Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
O CD for
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 Q 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 2 '` - --1 2--70`( - 000, 04` _O 2
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and(belief,Is true,correct and complete
C PY
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