Homestead_Hassel M. PREPARER
'
Pnaparorof the Sales Disclosure Form Title /
Matthew Jarvis Escrow Officer
Company .
Address (number and street, city, state, country, and ZIP code)
GO5SEMartin Luther King JrBoulevard, Evansville IN United States mfAmerica 47713
|. SELLER(8)/GRANTOR(S)
Seller 1 -Name anit appears on conveyance document Seller 2-Name ooit appears on conveyance document
Elizabeth /N.VVi|koo [Nichae|W. Stilwell
Address (number and street) Address (number and street)
4O3W. Spruce St. 4O3VK Spruce St.
Ci<y, State and ZIP Code City. State and ZIP Coda
Princeton, IN 47670 Princeton, IN 47070
Country Country
United OtatamofAmerica United States ofAmerica
E-mail address
required uy law,and iu prepared in accordance with |ox'1.1-s.6.A person who knowingly and intentionally falsifies the value oftransferred
real property, or omits or falsifies any information required to be provided,commits a Level 6 felony.
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y \ � , �\ i fG ||
PhntedNo6Joof8o||ar Date signed <mm/dd/yyyy> Printed Name ofSeller ' Date signed (mm/uu/yyyy)
Elizabeth [W.VVi|kaa 4/3/2023 Michael W. Stilwell 4/3/2023
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1 -Name aoit appears on conveyance document Buyer 2-Name uoit appears on conveyance document
Catherine Hassel
Address (number and street) Address (number and street)
220 E. Monroe St.
City, State and ZIP Code City. State and ZIP Code
�
Princeton, IN 47670 . ��
Country Country
United States ufAmerica 7o—r-,11
E'mai| address |
certain deductions. Identify all ofth hatp|y: r�+
YES NV CONDITION YES NO CONDITION ' ' cc o
B] O 1. Will this property ba the buyer's primary residence? E9 O 3. Homestead ' ��
O GD 4. Solar Energy Heating or Cooling
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O 2I 2 D000�hebuyorhevaa homontaadt» b»«oca�odf»r O F� 5 VVind povvorDovioo '
thisrosidonoa? |fyeo providoaddreos� ��
' U GO G. Hydroelectric Power Device
Address (number and street) O GD 7. Geothermal Energy Heating orCooling Device
City, State,ZIP and county' ' ' gL�/1 -yl�� /�) - «�n/ ��A��- vl�l4�.
cn«~ 'on `~' '"^/ `"�' ' ��^/ `���/~~
Under penalties of perjury, | hereby certify that this 8x|os oisxmsv,o,to the best ofmv xnow|ou9p and be|iof, is t,ue,correct and oonnp|nu,
as required by lu"v,and is prepared in accordance with |C 6'1.1'5.5.A person who knowingly and intentionally falsifies the value of .
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