Homestead_Hopper H. PREPARER
Preparer of the Sales Disclosure Form Title
Stacey Salzman Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Code)
2301 N.Burkhardt Road,Evansville,IN 47715
I. SELLER(S)/GRANTOR(S) _ -
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on conveyance doc 1 t
Craig
Address(number and street) Address(number and street) �OG
104 E John Street 0 -C.-
City,slate.and ZIP Code City.state.and ZIP Code % lE-. Q
., „6______
Fort Branch,IN 47648 t.
Country Country ?OGc- . /
US ti� ( ��
E-mail address
knowingly and Intentionally falsifies the value of transferred
real pro e ,or omits or falsifl nit Informattn required to be provided,commits a Level 5 felony.
Si nalu a of Seller Signature of Seller
rioted fo Salle. ` Date Igned(mn>rddiyyyy) Printed Name of Seller Date signed(mm!dd/yyyy)
Craig Hartig 11 23/2022 11/23/2022
J. BUYER(S)/GRANTEE(S)-APPLICAT ON FOR R PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer I-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Christopher Hopper Nicole Hopper
Address(number and street) Address(number and street)
430 E Oak Street 430 E Oak Street
City,slate.and ZIP Code City.state,and ZIP Code
Princeton,IN 47670 Princeton,IN 47670
Country
deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary ® 0 3. Homestead
® O residence? O CS1 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 f 5.Wind Power Device
0 ® for this residence?If yes,provide address: O ® 6.Hydroelectric Power Device
Address(number and street) 0 ® 7.Geothermal Energy Heating or Cooling Device
City,state.ZIP code,and county
6-t8- \3-4o2 - OCa -02-L.
Under penalties of perjury,I hereby 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