Homestead_Clark (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
Aaron Kent Hyneman Deborah Ann Hyneman
Address(number and street) Address(number and street)
444 E Harrison St 444 E Harrison St
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660 Oakland City, IN 47660 a
Country Country 4`/
gibson gibson
E-mail address
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.
�gnature of Seller Si nature � ,
N) _
Printed Name of Date sinned(mm/ddtyyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Aaron Kent Hyneman 07°c‘tzvi<ki252024 Deborah Ann Hyneman 07252024
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
Matthew C. Clark
Address(number and street) Address(number and street)
13283 E Harrison St
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660 � ��
Country Country O
gibson �* o
for certain deductions.Identify all of those that app • C n
YES NO CONDITION YES NO CONDITION u C= j O
O O 1.Will this property be the buyer's primary O O 3. Homestead ^ Q Q
residence? ❑ O 4.Solar Energy Heating or Cooling SylitIni co
m
0 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device c�for this residence? If yes, provide address: 0 O 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
26-1*-1 g- D4-coo. 3?4'—0104P
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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