Homestead_Campbell (5) H. PREPARER
Preparer of the Sales Disclosure Form Title
___ I Settlement Acnnt
Company
'
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S)
h.._
Seller 1 -Name as it appears on conveyance document Seller 2-Name as appears on conveyance document
Joseph E.Copper
Address(number and street) I Address(number and street
105 N.Hull St.
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch,IN 47648 4/
<6\
Country Country
US 0/.s •' IS
COQ ( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledgn)at6tifef,is true,c and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and irrti9 ,Ily falsifi v ue of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felon /'1,
Si ure of Seller 1 !/3 Signature of Seller 09b.\ ,
F .n`L Narrid or Seller /- Cate Sigred(mmicciyyyy) ' Pr;rted Name of Sei,er ;gn::d(inrnicciyyyj)
Joseph E.Copper _ 11/10/2023 I _11/10/2023 _T
J. BUYERS)/GRANTEE(S) —APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL THAT APPLY 1
r Buyer 1 -Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document -
Christopher J.Campbell
I Address(number and street) Address(number and street)
1035 W.400 S
City,State,and ZIP Code City,State,and ZIP Code
Princeton,IN 47670
Country Country
US
apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
031 1.Will this property be the buyer's primary ® 0 3. Homestead
residence? p ® 4.Solar Energy Heating or Cooling System
O ® 2. Does the buyer have a homestead to be vacated 0 N 5.Wind Power Device
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,and ZIP Code County
N, -9- 1$ -3ou -000 . 44C —O2G
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct,and complete