Homestead_Sprenkle Jr H. PREPARER
Preparer of the Sales Disclosure Form Title
Sherri Hudson — Settlement Agent
Company E-mail address
"
Address(number and street,city,state,country.and ZIP Code)
2301 N.Burkhardt Road,Evansville,IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveeo men
Jack E.Norris,Ill
Address(number and street) Address(number and street) NOV I
7551 S.950 W 420,,z / j�
City,state.and ZIP Code City,state,and ZIP Code �i
Oountry lie, IN 47665 / , ��
Country Country GresU�C�UNTygUn�
US
E-mail address
best of my knowledge and belief,Is true,correct and complete as
required by law,and is prepared In accordance with IC 8-1.1-5.5.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
{-<_r ��' L�/
Prl Name of Seller Date signed(mrn/dd/yyyy) Printed Name of Seller Date signed(mmtdd/yyyy)
Jack E.Norris,III 11/04/2022 11/04/2022
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
Loren Allen Sprenkle,Jr. Kasey Leigh Sprenkle
Address(number and street) Address(number and street)
1631 Sherman Blvd. 1631 Sherman Blvd.
City,slate.and ZIP Code City,state,and ZIP Code
Crystal Lake,IL 60014 Crystal Lake, IL 60014
Country Country
US US
YES NO CONDITION YES NO CONDITION
,b O 1.Will this property be the buyer's primary I� 0 3. Homestead
CCJJ residence? 0 ® 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 GI 5.Wind Power Device
0 for this residence?If yes,provide address: 0 GI 6. Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,state.ZIP code,and county I
6 - 1-1-21-200 - o��c‘ 3`19—°
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the beat of my knowledge and belief,Is true,correct and complete
as required by taw,and is prepared In accordance with IC 6-1.1-5.5.A person who knowingly end intentionally falsifies t
e value
e
of
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