Homestead_Hoke INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
Karen S.Creek Closing Agent
Prepurer of the Sales Disclosure Form Title
501 Main Street, Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000 karen.creek @ieffbosse.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) 3 – — --- — — – — .±.
W Michael Hollars Mary L Hollars
Seller I-Name as appears on conveyance document Seller 2-Name as a�eors on conveyance document
Address(Number and Street) if ' - Addr ber and Street)
S y1 -
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 1...1-5.5,"Real 7 Prrope/'11(CC/yy/Saalleess Disclosure Act".
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Signature of Seller ?I Signature of Seller I Q I
W.Michael Hollars UO.31•H Mary L Hollars `g •J�.(`Y
Printed NameofSeller Sign Date(1.M/DO/1Tn1 Printed Name of Seller Sian Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)W.`APRLIGATION;FORPROPER1W TAX DEDUCTIONSE•IDENTIFY ALL ITEMSTHAT APP,LY,__ - `
Charles B.Hoke Misty G. Hoke
Buyer!-Nam cu
Nome as appears on conveyance document Buyer 2-Name as pears on conveyance document -
looS N. 5E toS A,. .l i.
AddressR.ber and Street) Add (Number and Street)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE T Ill.P'I,Y.
YES NO CONDITION I YES NO CONDITION ,
0 ❑ 1.Will this property be the buyer's primary IN p 3.Homestead ((��,,11G 5 214
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/CDb11ng System
residence,including county: ❑ 0 5.Wind Power Device
o2a i L 4 K/= IN woo D Dm()L R
Address(Number and Street) np ❑ 0 6.Hydroelectric Power De IUNTy AUDI10
'�RINCETO.t/, LA / 42G7O UIOSON ❑ 0 7.Geothermal Energn IRb oolingDevice
City,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide El IN 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
0 igcyuding coup below.Please see instructions for more information.
NA 11 J1 lU Not available in all counties.)
Ad Nvmberan Street t 1
,3/4.1lp70
zit, - 1a - ob- aol00. 55 33oa7
City, a ZI ode Covnry
Primary-pro perty owner contact name E-mail