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Homestead_Greene 1 H. PREPARER Preparer of the Sales Disclosure Form Title Abbey Moore Closing Agent Company Address(number and street,city,state,country,and ZIP Code) 4905 Theater Drive, Evansville, IN 47715 I. SELLER(S)/GRANTOR(S) Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document William C. Hoffman Alexandra L. Hoffman Address(number and street) Address(number and street) 10 15 ('h. -fkiis Qd • (()3r5 r1c Q4 - state,and zip Code C' state.and ZIP Code Country Country USA USA Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge Arid belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred real property,or omits or falsifies any-information required to be provided,commits a Level 5 felony. Signatur f Seller / lure of Seller ___ . allx,-.4.6411 V a___ __„1:2 --)--1-x2:2A,,J anted Name eller Date signed(mmfdd/yyyy) -ant-. Name o Seller Date signed(mm/dd/yyyy) William C. Hoffman 06/10/2022 Alexandra L. Hoffman 06/10/2022 J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document Heather Greene Address(number and street) Address(number and stre�ILED 2108 Taylor Avenue City,state,and ZIP Code City,state,and ZIP Code Princeton, 1N 47670 111N 1 3 2022 Country Country L J^, USA o%r1 Ua 2�`'� lft ( ) Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply: YES NO CONDITION ) YES NO CONDITION 1.Will this property be the buyer's primary O 0 3. Homestead O O residence? Cl O 4.Solar Energy Heating or Cooling System 2.Does the buyer have a homestead to be vacated 0 O 5.Wind Power Device O O for this residence? If yes,provide address: O O 6. Hydroelectric Power Device Address(number and street) O O 7.Geothermal Energy Heating or Cooling Device City,state,ZIP code,and county tl ^f _V2_^ CD' — -O k_O0 Q 1-"\jk 1 — o- . 3 of 5