HomeMy WebLinkAboutHomestead_Ennis 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
The Estate of Agnes Imogene Higginbotham
Address(number and street) Address(number and street)
2162 Valleyview Dr
City,state.and ZIP Code City.state,and ZIP Code
Saylorsburg, PA 18353
Country Country
Monroe
who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies ny information required to be provided,commits a Level 5 felony.
Sig ature Se r Signature of Seller
Printed m o S ler Date signed(mm/dd/yyyy) — Printed Name of Seller Date signed(mm/dd/yyyy)
J(nes A.Hig inbotham,Pe onal Representative 11/14/2024
J. BOYE (S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDEN L THA P'�
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Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears on
nve
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11120311
Address(number and street) Address(number and street) NOV 15 2024
609 N 6th St
City,state,and ZIP Code City,state,and ZIP Code
Wolforth TX 79382 2 �C a Per& i:nd)
Country Country
GIBS
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apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary Lg 0 3. Homestead
residence? ❑ Q 4.Solar Energy Heating or Cooling System
0 2. Does the buyer have a homestead to be vacated O O 5.Wind Power Device
for this residence?If yes,provide address: O O 6. Hydroelectric Power Device
Address(number and street),e ❑ 0 7. Geothermal Energy Heating or Cooling Device
e `City,state,ZIP cod and co my , G
(,moo I F or`M �� 74 3 0� G;16, -/7 -b.o • 516 -oOD. s1-S-0 A(
Under penalties of perjury,I liereby certify that 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
Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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