Homestead_Oldham 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 d, urpent
Rogena Hunt Suzie Ann Alexander
Address(number and street) Address(number and street) Lpip
251 Arlington Rd 633 Mallards Crossing
City,state,and ZIP Code City,state,and ZIP Code
Brookville, OH 46151 Martinsville, IN 46151
CDU4 Clrurtfig
Ma4/7 /nzey 11(1o15a.A
Under penalties of perjury,I hereby certify 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.
Signature of Seller Signature of Seller
Printed Nam of Seller Date signed(mm/dd/yyyy) ri .ed N me of Seller Date signed(mm/dd/yyyy)
Rogena Hunt 11/28/2023 Suzie Ann Alexander 11/28/2023
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
Jeremiah Oldham
Address(number and street) Address(number and street) FILED
3244 S 950 E
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN, 47660
Country Country DEC 2 7 2023 47-
gibson
apply for certain deductions.Ide }tl� laitiatiitiii1FOR
YES NO CONDITION YE$ NO CONDITION
(� 1.Will this property be the buyer's primary l.J/ 0 3. Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
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 Q 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
0(0-1?-„?6-3co- 0o0. L 1'3 - ooce
of`} (thtG./uuz C.G. .YY irtd)
GIBSON COUNTY AUDITOR