Homestead_Hasselbrinck H. PREPARER
Preparer of the Sales Disclosure Form Title
Jamie E. Smith Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code) -
101 Plaza East Boulevard, Suite 102, Evansville, IN 47715
I. SELLER(S)IGRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
_
The Estate of JAMES E. STURGEON
Address(number and street) Address(number and street)
415 West Glendale Street
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670
Country , Country MAR 2 a
J 2023
E-mail Address
GleSON c,„,..<2...tA
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,IS tfworpr • mplete as
reqyi by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies't allgirf transferred
re ( perty,or omit or falsifies any information required to be provided,commits a Level 5 felony.
S'g /yof.Se er
Xrture of Seller
.....„......., ,,,....„,r
nted Name e e igne cilyyyy) Pnnted Nam er I i 0 Date gned(mmtdd/yyyy)
MISTY DA OMPOLES,Co-Personal F bruary-28, 2023 EVohne e (COMO! on Febr ary 28, 2023
ric.„
J. BUYER(S)IGRANTEE(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
TONY HASSELBRINCK
Address(number and street) Address(number and street)
2848 E Taftown Road
City,State,and ZIP Code City,State,and ZIP Code
Princeton, IN 47670-8618
Country Country
CONDITION
1.Will this property be the buyer's primary,
LJ residence? 1111W, 3.Homest4ad
El 161 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated El Or 5.Wind Power Device
El for this residence? If yes, provide address: El UI .6.Hydroelectric Power Device
Address(number and street) 0 E "7.Geothermal Energy Heating or Cooling Device
City,State,ZIP code,and County
—30 —00) Ft9—02 —
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
- 1111, I VC 4