Homestead_Wilber 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 Fr,.I. SELLERS)/GRANTORS)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears oh4Prkonny c -
Habitat for Humanity of Gibson County, Inc. '���++•��./
Address(number and street) Address(number and stre A.
1302 W. Brumfield Avenue M^'Y 1 2025
City,state,and ZIP Code City,state,and �C,ade
Princeton, IN 47670 G�
Country Country BSO O F
Gibson N
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 SellerSignature of Seller
X (LA
C.Y/l2
Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(rem/dd/yyyy)
Nick Brown, Board President 01/17/2025
J. BUYERS)/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
Cheryl L.Wilber
Address(number and street) Address(number and street)
523 Dale St. COdo
City,state,and ZIP Code City,state,and ZIP Code
Oakland City, IN 47660
Pifill''
Country Country
Gibson
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary CD 3. Homestead
O 0 residence? 0 O 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 C.) 5.Wind Power Device
0 Q 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 At- 14-I
g- 4 -Co
c), 3 1 p _0 0
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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