Homestead_Nurrenbern 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 FILEDI.I.SELLER(S)IGRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Larry W.Dearing and Joan H.Dearing Revocable Living Trust dated January 20,2023 Larry W.Dealing and Joan H.Dearing RevocAt6vIrlg 1us702January 20,2023
Altdress(number and street) Address(number and street)
City,state and ZIP Code City,state,and ZIP Code
fiyi— boat IM cf 7wev s A.001— a. 4.464-4)
Country Country GIBSON COON IVAUDITOR
ALS t6
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
Pned
,Seller Datesignedam/dd/yyyy)/ 4u
LarryW. Dearing,Trustee 1oii
Joan H. Dearing,Trustee allil07P5
— —
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
Jeffrey Alan Nurrenbern Laura Ann Nurrenbern
Address(number and street) Address(number and street)
12936 S Sunset Dr 12936 S Sunset Dr
City,state,and ZIP Code City,state,and ZIP Code
Haubstadt, IN 47639 Haubstadt, IN 47639
Country Country
US Us
YES NO CONDITION
y 0 1.Will this property be the buyers primary
, 3.Homestead
residence?
0 0 4.Solar Energy Heating or Cooling System
2.
Does the buyer have a homestead to be vacated 0 C3 5.Wind Power Device
0
for this residence?If yes,provide address: 0 13 6.Hydroelectric Power Device
. .\ rgif s um er and street) t im 0 0 7.Geothermal Energy Heating or Cooling Device
lir
•
.... Oen,Z_IPI mile,an, unty sci U -kV -k C-WO- oo 0,4 o 6 - 07-1
Under penalties of perjury,I hereb 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
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