Homestead_McKeethen H. PREPARER
Preparer of the Salts iscl�nre Form) h Title
(/ v[ fJ Ul 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
Top Hat Properties,LLC
Address(number and street) Address(number and street)
2885 E Top Hat Rd
City,State,and ZIP Code City,State,and ZIP Code
Princeton,IN 47670
Country Country
US
( )
Under penalties of perjury,I hereby certify 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 transferred
r a roperty,or omits or falsifies any information required to be provided,commits a Level 5 felony.
S lure of ti Sell �� J� Signature of Seller
Printed Name of Seller Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
Lori Adams, 06/26/2024 06/26/2024
IJ. BUYER(S)IGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDE Y ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears n' o e ce document
Jeremy K.McKeethen
Address(number and street) Address(number and street)
321 Holly Hill Drive ✓j/
City,State,and ZIP Code City,State,and Zl Code Vc 03 Ir
Evansville,IN 47711 202j
Country Country C'�6S,ON
CoUS Q
CONDITION
1.Will this property be the buyer's primary O 3. Homestead
O residence?
0 ® 4.Solar Energy Heating or Cooling System
O 2. Does the buyer have a homestead to be vacated 0 al5.Wind Power Device
for this residence? If yes,provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) O ® 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
26...
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