Homestead_Jones (3) 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. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Peter J. Edwards, Jr. Isabel C. Edwards
Address(number and street) Address(number and street)
-11od c f>,o.,, rokr - 105fi2 vk) Lap 5
City. ate.and ZIP Code City.state.and ZIP Code
C nt CountryAso 11 _GUb.5on
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person `` o knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided, .t.mmit- . evel 5 felony.
Signa.Zeller Sign! ure . e
Printed Name of Seller Date signed(mm/dd/yyyy) Pr ed Na Ir-. of Seller Date signed(mm/dd/yyyy)
Peter J. Edwards, Jr. a `9.99.14 Is i.el C. Edwards Ct r a,�
J. BUYER(S)/GRANTEE(S) —APPLICATION OR PROPERTY TAX DEDUCTIONSFT FY A T P LY
Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it ap rs n . , d
.• . ent
Teresa M. Jones Dennis K. Jones
Address(number and street) Address(number and street) 2024
301 W Certain St 301 W Certain St MAR
City,state,and ZIP Code City.state.and ZIP Code
Owensville, IN, 47665 Owensville, IN, 4, i a,. 4)
Country Country GIBBON COUNTY AUDITOR
gibson gibson
YES NO CONDITION YES NO CONDITION
0 1.Will this property be the buyer's primary (20 3. Homestead
residence? 0 Q 4. Solar Energy Heating or Cooling System
O C) 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) O O 7.Geothermal Energy Heating or Cooling Device
City.state.ZIP code. and county ^6 _ 17- 1 D-^O3 -boo. C7c oa2
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