Homestead_Phillips (8) 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 n ey c cument
Betty J. McDermott
Address(number and street) Address(number and street)
603 E State St Se/0
City,state,and ZIP Code City,state,and ZIP de J�
Princeton, IN 47670
Country Country OrSO Op:
4'00 Q
.40/ � ( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is trR4correct 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.
Sig ture of Seller Signature of Seller
Printed a�of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Betty J. McDermott 09092024
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
Charles T. Phillips Beverly S. Phillips
Address(number and street) Address(number and street)
603 E State St 603 E State St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN 47670 Princeton, IN 47670
Country Country
gibson gibson
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary O 0 3. Homestead
residence? 0 Q 4. Solar Energy Heating or Cooling System
O O 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence?If yes,provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 O 7. Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county 2-6 ^ 12 -0 1- '^f . - 000. ct`I g -Q ,
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