Homestead_Isaacs INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page 2
D. PREPARER
Teresa S. Holifield
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 teresa @swinland.com
City, State, and ZIP Code Telephone Number E-mail
E. SELLER(S)I GRANTOR(S)
Stephen L. Sork Amy L. Sork
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12. 36 Longmeadow Way 1236 Longmeadow Way
Address(Number and Street) Address(Number and Street)
Evansville, IN 47725 Evansville, IN 47725
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 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Signat-te of Seller Signature of Sell% -�
Stephen L. Sork 2/16/2017 Amy L. Sork 2/16/2017
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT u APPLY
r r
Stacy Isaacs � I,;
Buyer 1 -Name as appears on conveyance document Buyer 2-Name as appears on ve ••
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648 Beringer Dr FEB.1 7 2017
Address(Number and Street) Address(Number and Street)
Evansville, IN 47711
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YE NO CONDITION YES NO CONDITION
a 1. Will this property be the buyer's primary lf' ❑ 3. Homestead
residence? Provide complete address of primary ❑ rP( 4. Solar Energy Heating/Cooling System
residence, including county: 'C
1250 W 1200 S ❑ U' 5. Wind Power Device
Address(Number and Street) ❑ I?' 6. Hydroelectric Power Device
Haubstadt, IN 47639 i Gibson ❑ 7. Geothermal Energy Heating/Cooling Device
c y, S a p ZIP Code County ❑ 8. Is this property a residential rental property?
jg�� / - 2. Does the buyer have a homestead in Indiana to be ❑ �' 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
addres of residence being vacated, including county: below Please see instructions for more information.
frAq ' in Not available in all counties.)
Address umberand Street) ('
NiciAAtII, .5.0 ti»l ( Vgighli,yi, 2(0 83--1 - 3oo -0pa. 6 Y8WY
City, State ZIP Code Co fy P mary property owner contact name E-mail