Homestead_Crum r
1 H. PREPARER
f Preparer of the Sales Disclosure Form Title
Kristina L Watson Closer
Company E-mail address
Address(number and street,city,state,country,and ZIP Code)
4799 Rosebud Lane Newburgh IN 47630 / , (0\-'. -
I.SELLER S!GRANTOR S "���•••�
� ) � ) ", y Seller 1-Name as it appears on conveyance document Seller 2-Name as appears °��°Cnt
J23 Investments,LLC InvestmentscLLC C ?U 4
I Address(number and street) Address(number treat) ]
PO BOX 1604 PO BOX 1604 G/e5Ov Q
City,state,and ZIP Code City,state,and ZIP code COVN 1� ��
Evansville IN 47706Oick Evansville IN 47706 ''quj
Country Country `
US US
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 property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Sellel,ortuvjam cret, Signature of Seller
Printed Name of Seller l ALArm/dd/yyyy) Printed Name of Seller ' Date s' (�mtdd/yyyy)
Jonathan Lee,Member Jeff McGowan,Member 02/U9/2
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
Jared Crum Jennifer Crum
Address(number and street) Address(number and street)
803NHartSt 803N Hart St
City,state,and ZIP Code City,state,end ZIP Code
Princeton IN 47670 Princeton IN 47670
Country Country
US US
'mg NO CONDITION YES NO CONDITION
11 ❑ 1.Will this property be the buyer's primary ❑� 0 3.Homestead
residence? ❑ 0 4.Solar Energy Heating or Cooling System
0 rm 2.Does the buyer have a homestead to be vacated El (] 5.Wind Power Device
for this residence?If yes,provide address: ❑ i] 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
`-1 2--07— 102 - 000. 40q - Q 28
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct and complete
CONTRACT