Homestead_Higdon H. PREPARER
Preparer of the Sales Disclosure Form Title
Sherri Hudson Settlement Agent
Company Email Address
Address (number and street,city,state,country,and ZIP Code)
2301 N. Burkhardt Road, Evansville, IN 47715
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Tyler W.Gillett
Address(number and street) Address(number and street}.
kt
702 E.Walnut St.
City,State,and ZIP Code City,State,and ZIP Code
Fort Branch, IN 47648 4/01/ -
Country Country 8 2023
US
best of my knowledge and belief,ism ect,and complete as
required by law,and is prepared in accordance.with IC 6-1.1-5.5.A person who knowingly and intentionally fa value of transferred
Aff
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Siiitreui fm.Selter et Signature of Seller
Printed me of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Tyler W. Gillett 11/27/2023 11/27/2023
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 conveyance document
Emma J. Higdon
Address(number and street) Address(number and street)
13130 Benson Dr.
City,State,and ZIP Code City,.State,and ZIP Code
Evansville, IN 47725
Country Country
US
certain deductions.Identify all of those that apply
YES NO CONDITION ' S NO CONDITION
O 1.Will this property be the buyer's primary 0 3. Homestead
residence? O ® 4. Solar Energy Heating or Cooling System
)j- 2. Does the buyer have a homestead to be vacated 0 al 5.Wind Power Device
O for this residence? If yes,provide address:
0 ® B. Hydroelectric Power Device
Address(number and street) 0 ® 7. Geothermal Energy Heating or Cooling Device
1313 O t ,t'yt) t eve.
City,State,and ZIP Code County ���,
F�J"unS\i \\t , iN Lti 72 9 -1 S -3 O - 0 0 0 - g31 — )
Under 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