Homestead_Hedge INDIANA SALES DISCLOSURE FORM SDF ID: 2015 Page 2
D. PREPARER
Kathy Masterson Esaow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 kathy @swinland.com
City, State,and ZIP Code Telephone Number E-mail
(E:SSELLER(S)%GRANTOR(S)
Bryan Hobbs Terri Hobbs
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8851 S 100 W 8851 S 100 W
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and com IC as requir by w,and is prepared in accordance with C 6-1.1 5.5, "Real Property Sales Disclosure Act".
'Si. Lure f Seller (Sign t re of Seller
Bryan Hobbs 7/13/2015 Terri Hobbs 7/13/2015
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
IF._BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Brian Hedge Andrea Hedge
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
7818 Oarsman Junction 7818 Oarsman Junction
Address(Number and Street) Address(Number and Street)
Evansville, IN 47715 Evansville, IN 47715
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDEN$ YO• 'Lie THOSE FU9f APPLY.
YES NO CONDITION YES • NO CONDITION ti " . /5
❑ Ci Wll this property be the buyer's primary ❑ Homestead O&4 ti-.
`r residence? Provide complete address of primary (❑ p q_ Solar Energy Heating/Cook yst
residence, including county:
El El 5. Wind Power Device °/t.
8851 S 100 W El El 6. Hydroelectric Power Device O"
Address(Number and Street) Y
Fort Branch, IN 47648 I Gibson ❑ E1 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ El 8. Is this property a residential rental property?
0 2 Does the buyer have a homestead in Indiana to be ❑ E1 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
o6 –2i_gs-/x - 000 . 53 -00?5
City, State ZIP Code County Primary property owner contact name E-mail