Homestead_Schmidt (6) 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)IGRANTOR(S)
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on co ance document
Estate of William R.Wells
Address(number and street) Address(number and street) 1:446-1
1309 N 100 W
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN,47670 Ott"
Country Country 2 02
0
GIBSON e' 4
--°04/
COI
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belieTfilr ect and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally fa't4iaiIue of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Sig rellera,L3 Signature of Seller
Printe ame of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Joh .Wells,Personal Representative 12/18/2024
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
Jennie W. Schmidt
Address(number and street) Address(number and street)
312 S Stout St
City,state,and ZIP Code City,state,and ZIP Code
Princeton, IN,47670 .4„.
Country Country
GIBSON
( )
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply: N.
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary 0 0 3. Homestead
CJ 0 residence? 0 0 4. Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 0 5.Wnd Power Device
0 for this residence?If yes,provide address: 0 E 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
1 -0005S+'-'0 2_5>
Last 5 Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
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