Homestead_Hadden H. PREPARER
Preparer of the Sales Disclosure Form Title
Matthew Jarvis Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
Robert L. Jennings, also known as Robert' C�n�(1i(1Gi by Minnie Krieg,
his attorney-in-fact J" J
Address (number and street) Address (number and street)
869 S 380 W
City. State and ZIP Code City, State and ZIP Code
Princeton, IN 47670
Country Country
United States of America
E-mail address address Telephone number
Under penalties of perjury, I hereby certify this Sales Disclosure,to the best of my knowledge and I' f, s ue, r ecit anq complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and inten o a�y Isi i e'�rajj/e of transferred
real property, or omits or falsifies any information required to be provided,commits a Level 5 felot
-\gi�n�t re of f SgI_I$r %�f/� - S gnature of Seller OCT 26 2022
/� (u��/ riu�x�l 6// sel>L,c�
Printed Name of Sel r Date signed (mm/ d/yyyy) Printed Name of Seller Dage signed (mm/dd/yyyy)
Robert L. Jennings, also kno% n as Robert 10/5/2022 Ith .,` :;,..
nnings, by Minnie Krieg, his attorney-in- GIBSON COUNT'.',-•Ut 1 i`. .. w\
fact \�,
1 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
' Alicia Nichole Hadden Jamie Lee Hadden
Address (number and street) Address (number and street)
4429 Barharbor Ct. 4429 Barharbor Ct. COPY
City, State and ZIP Code City, State and ZIP Code
Indianapolis, IN 46268 Indianapolis, IN 46268
Country Country
United States of America United States of America
YES NO CONDITION YES NO CONDITION
0 El 1. Will this property be the buyer's primary residence? 0 ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
❑ 0 2. Does the buyer have a homestead to be vacated for ❑ 0 5. Wind Power Device
this residence? If yes, provide address: ❑ 0 6. Hydroelectric Power Device
Address (number and street) ❑ 0 7. Geothermal Energy Heating or Cooling Device
City, State,ZIP code, and county d6
-11-/6 - -oo- oott. oo.D-o. 7