Homestead_Harmon H. PREPARER
_ —
Preparer of the Sales Disclosure Form Title
Title Company
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Larry D.Sprinkle,Trustee of the Johnny P.Sprinkle Testamentary Trust
Address(number and street) Address(number and street)
10133 S 350 E ' )-19 1
City,State,and ZIP Code City,State,and ZIP Code c
Haubstadt, IN 47639
Country Country L���
US r13'� t•
penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is tr gse?and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and Intentional the value of transferred •
real property,or omits or falsifies any information required to be provided,commits a Level 5 felo aC
Signature of Seller ' . Signature of Seller G\....
See- Pct� e-S
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
07/26/2023 07/26/2023
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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
Pamela J.Harmon
Address(number and street) Address(number and street)
5OS Tf ) AV-Q.
City,State,and ZIP Coded r- n , -}� , City,State,and ZIP Code
Prinretnn, l din 1'I ESL to c e.Q-- i .fit/ 't 7 G S
Country Country
US
( )
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YE
NOO CONDITION
O 1.Will this property be the buyer's primary 3. Homestead
residence? 0 ® 4. Solar Energy Heating or Cooling System
O ,/ 2. Does the buyer have a homestead to be vacated 0 ® 5.Wind Power Device
7"- for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address(rye andi -C, "t street)
n ^ St-
, O ® 7.Geothermal Energy Heating or Cooling Device
City State, ZIP Ctode County qq
+- nv\c cv1 4 -7 (n -20 046- 23 -06- 2•00-000 .-172_00ct
OUnder 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
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COPY
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