Homestead_Hoffman •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Arne Lampina Processor
Prepare of the Seim Disclosure Farm Tide
4962 Lincoln Avenue First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 (812)490-8485
City,Stott and LP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Kristi Folsom _
Seller -Name as appears on con once document Seller2-Nome as appears on conveyance document
1o9l �UYci ?; CA
(Cnul�r t � Lk-7 639 Address(Number and Street)
iC 1Ciity
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as r it d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
j.4
Siguatur (Sdkr rt Signature of Seller
Krick Folsom . 04-A- 20 I L ,- , :a �a,
Printed Name after I' Sign Date iMR/OD/YYYYI Printed Name of Seller 1 •n is
/oo/rrrp
R BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL 1T + S IIA 1 • e• 6
Sob M Hoffma 7 �.A� p
----Baymi—N.o, —)on mnveyan meet Buyer2Name as appears on conveyance do HPR 15 2016
/03 - 4- /K �re�F
Add nd Street) Addrses(Numberontl SbeeO
l nd 27/U �7� �� �2
THE SALES ISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION 1 YES 0 CONDITION
❑ 1.Will this property he the buyer's primary j ❑ 3.Homestead
residence? Provide complete address of primary (►� , -, • - gy eating/Cooling System
of i Tice,I ludin county: ❑ t.
G 140-1
/ 5.N Ind Power Device
to�,(NGm 'esneeq I --fir Cr Z 6.Hydroelectric Power Device
'�\ VQY'Qh —'Y " �� �� {' ❑ Q 7.Geothermal Energy Hearing/Cooling Device
City,State LP a County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via a-mail?(Provide contact information
including county: below.Please see instructions or more information.
'o avai able in all counties.)
Address(Number and Street)
.26-le- 13 - yob:_000.8(o3 -odb -.
Gty,State VP Code Cou •
E-mail