Homestead_Hobbs H. PREPARER
Preparer of the Sales Disclosure Form Title
Justin T. Page Escrow Agent/Examiner
Company
Address(number and street,city,state,country,and ZIP Code)
605 SE Martin Luther King, Jr. Blvd., Evansville, IN 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Nugget Properties LLC Nugget Properties LLC
Address(number and street) Address(number and street)
3162 S 650 E 3162 S 650 E
City,state,and ZIP Code City,state,and ZIP Code
Francisco, IN 47649 Francisco, IN 47649
Country Country
United States of America United States of America
E-mail address
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 transferred
real pro erty,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Sig ur of Seller Signat re f Seller
Prin Name of Sel Date signed(mm/dd/yyyy) Printed Name of Sell r ate signed(mm/dd/yyyy)
Erin George , Man 10/16/2023 Richard Joseph Georges JR, Mem 10/16/2023
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 cony a ocument
Lashay Nichole Hobbs
Address(number and street) Address(number and street) I
1D00- to) . In: If SI-. --
City,state,and ZIP Code City,state,and ZIP Code NOk
PrPAfe en/ ZN 'I7670 _ 1320Z Country Country •
3
.fin• ad k+s of Am(IIcj 0/e
E-mail address
for certain deductions.Identify all of pIy:
YES NO CONDITION ] Yr NO CONDITION
r.Will this property be the buyer's primary 0 3. Homestead
residence? 0 0 4. Solar Energy Heating or Cooling Syst:
O 2• Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device
for this residence? If yes,provide address: 0 0 6. Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Dev -
' spy •
s' r.