Homestead_Gillihan 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
1. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Bryan Tucker Velvet Tucker
Address(number and street) Address(number and street)
9807 S Joy Ln 9807 S Joy Ln
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt, IN 47639 Haubstadt, IN 47639 t
Country Country
Gibson Gibson 1
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./
S ire of Sal Signa re pf S Ter _LL .C.f`/
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Printed < �n'u t,t.
` Naine)of eller Date signed(mm/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
Bryan Tucker 02/13/2025 Velvet Tucker 02/13/2025
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
R
Magen D. Gillihan
Address(number and street) Address(number and street)
0 415W Vine St
City,state,and ZIP Code City,state,and ZIP Code ED
0 Patoka, IN 47666
.J Country Country Fee
Ji- Gibson CD i 4 2Zn�
V•
YES NO CONDITION OU •!�
1 N
c. O O 1.Will this property be the buyer's primary O O 3. Homestead 7Y4-O .
p
residence? 0 p 4.Solar Energy Heating or Cooling System
( r) 2. Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
1 O O for this residence?If yes,provide address: 0 O 6. Hydroelectric Power Device
Address(number and street) 0 Q 7.Geothermal Energy Heating or Cooling Device
415 W Vine St
l City,stale,ZIP code,and county ^ '2^0 1^ �4 -lJ f�'1 o2 • 4 o 2-o
zrY
Patoka, IN 47666 (�-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 Q
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
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