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Homestead_Jones (28)
H. PREPARER Preparer of the Sales Disclosure Form Title Martha Lee Oprisko Owner/Seller/Grantor Company Address(number and street,city,state,country,and ZIP Code) 298 E. Old Petersburg Rd., Princeton, IN, Gibson, 47670 I. SELLERS)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on con y ce d cument Martha Lee Oprisko n/a Address(number and street) Address(number and street 298 E. Old Petersburg Rd. n/a Fc 4 City,State,and ZIP Code City,State,and •"•ode Princeton, IN 47670 n/a 04,,, ?©?7 Country Country A,-- Q Gibson n/a CUiy n/a /TOE, ( ) n/a 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. Signature of Seller + Signature of Seller P� _ Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy) Martha Lee Oprisko 12/23/2024 n/a n/a _ J. BUYER(S)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDU TI S ID_NTIFY ALL THAT APPLY Buyer 1—Name as it appears on conveyance document — a i pp rs r, conveyance document I Michael Edwin Jones a Address(number and street) cjI0Ani res (nu r and street) 330 E. Monroe St. City,State,and ZIP Code City,State,and ZIP Code Princeton, IN 47670 n/a Country Country C---- J Gibson n/a // apply for certain deductions.Identify all of those that apply: _ —YES NO CONDITION YES NO CONDITION © O 1.Will this property be the buyer's primary O O 3. Homestead residence? O 0 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 0 7.Geothermal Energy Heating or Cooling Device n/a City,State,and ZIP Code County n/a n/a 21 -i2-o1 --L03-00O , t51 - 61,E , n/a Page 3