Homestead_Hammers INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
(D P,REPARER Ec "stt _ �. t z;
Tiffany Hoon Closer
Preparerof the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
Brandon R. Hopkins Chastidi A. Hopkins
Seller 1.Name as appears an conveyance document Seller 1.Name as appears on conveyance document
608 S.Lincoln 608 S. Lincoln
Address(Number and Street) Address(Number and Street)
Ft. Branch, IN 47648 Ft. Branch, IN 47648
NOte,anaa/r cede
Telephone Number Emall
Under penalties o erjury,I here y-cii tify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and con letereu'r ' y, V
,and is prepared in accordance wi I 6-1.1-5. "Real Prppe Sales i sure Act".
•
nature of Seller' S na I
Brandon R. Hopkins D5 3011°) Chastidi A. Hopkins ad�3U I J 5
Printed Name Seger SighDoti(MM/DD/YYYY) Printed Name of Seller Sig Date(M,,GG/DD/ )
pBUYER(SWGRANTEE(S i.. PLICATIONtFOR1P,ROP.ERT,Y<,TAX DEDUCTIONS IDENTIEYsALUFFEMSATHAVAPP.LY
Cole Mitchell Hammers
r] N tttt ccc document Buyer 2-Name as appears on conveyance document
Address(Number and Street) Address(Number and Street) FILED
Evansville,IN 47711
Jun 03 2019
E-mall Telephone Number GIBSON COUNTY AUDITOR CBE-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P TY. IDENTIFY ALL OF HAT APPLY.
YES N0 CONDITION YES 0 CONDITION
�❑ 1.Will this property be the buyer's primary 3.Homestead
residence? Provide complete address of primary ❑ p 4.Solar nergy eating/Cooling System
residence,including county: ❑
608 S Lincoln Street H S.Wind Power Device
Address(Number and Street) ❑ H 6.Hydroelectric Power Device
Fort Branc 47648 Gibson ❑ IZI 7.Geothermal Energy Heating/Cooling Device
ay State 2I code County ❑ B, Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ a 9.Would you like ve tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, pro via e-mail?(Provide co information
including county: Blow.Please see instructions for more in ation
Not available in all counties.)
Address(Number and Street) 26-19-19-101-000. 294-026
Cole itchell Hammers
City,State ZIP Code County Primary property tan-Name E-mall
Number License/ID/Other Number