Homestead_Snyder (5)IIYUTAIVA JALtS UISGLVSUKC hOKM SDF ID: 2p12 Page 2
D. PREPARER
� Sherri S Hudson Closing Agnet
Preparero77he Sales Disclosure Foim Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address (Number and Street)
E. SELLER(S) / GRANTOR(S)
Jonathan D. Sorgius Brena K. Sorgius
Se/!er 1- Name as appears on conveyance document Seller 2- Name as appears on conveyance document
11069 S. Windy Hollow Ct 11069 S Windy Hollow Court
Address (Number and St2et) Address (NUmber and Street)
Haubstadt, IN 47639 Haubstadt, In 47639
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co� ple uired by law, and is prepared in accordance with IC 6-1.1-5.5, "Rea Property Sales Disclosure Act".
% /O .?c� "D/ , e U-, , D - f
gna o/ �er . Signa(ure olSe/!er
Jonathan D. orgius Brena K. Sorgius
Pnnfed Name o7 Seller Sign Dafe (MM/DDNYYY) Pnnted Name of Seller Sign Dafe (MM/DD/YYYY)
F. BUYER(S�/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY
Ryan Snyder Karrie Snyder
Buyei 7- Name as appears on conveyance document Buyer 2- Name as appears on conveyance document
2701 Bonair Drive 2701 Bonair Drive
Address (NUmber and Street) Address (Numbei and Street)
Evansville, IN 47725 Evansville, IN 47725
THE SALES DISCLOSURE FORM MAY BE USED TO APPLV FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE 7HAT APPLY.
YE NO CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary � p q. Solar Energy Heating/Cooling System
residence, including county:
❑ � 5. Wind Power Device
�-11069 S Windy Hollow Court ❑ p 6. Hydroelectric Power Device
Addiess (NUm6er and SfreeQ
Haubstadt, IN 47639 Gibson � 0 �� Geoihermal Energy Heating/Cooling Device
Ci;y, Stare ziP Code County ❑ 0 8. Is this property a residential rental property?
� � 2. Does the buyer have a homestead in lndiana to be � 0 9� Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact rn(o�mation
address of residence being vacated, including county: below. Please see instructions /ormore information.
// Not availa6le in all counties.)
�%n � (�r��1G if( �r�UP
A d�ess (Num6er and Sfreet)
r„Ns� ��� �-r� N��zs U�,�� �� -a� �� �o� ooa oa.ScwS�
City, Sfate ZIP Code County Pnmary property owner rnnta t name E ail
Under penalties of pery'ury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[ and
complete as required by law, and is prepared in accordance with IC 6-1. 5.5, "Real Property Sales Disclosure AcY'. (Note: Spouse
infor ion, ial Sec rity and Driver's License/Other numbers are necess if no Homestead Deduction is being filed.)
Signature o yei 1 � ignature of Buyer Spouse /
Ryan Snyder �0��� Z Karrie Snyder I O I��1� Z