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Homestead_Nixon H. PREPARER
Preparer of the Sales Disclosure Form Title
Payge Marx Escrow Officer
Company
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd 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
Jason C. Hoefling Alicia M. Hoefling
Address(number and street) Address(number and street)
S7H1-( f's kS0 L,l S 7U(i S KSO V,
City,state,and ZIP Code City,state,and ZIP Code .
D ,,lan)vr'ili ,IiJ i-(7665 CiUej�sv ii-r, r_ N 47(0(,
Country Country
US US
required by law,and Is prepared in accordance with IC 6-1.1.6.6.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 6 felony.
Signature of Seller Signature:of Seller r••1
Printe Name of Seller • Date signed(mm/dd/yyyy) Printed Name of Seller I. Date signed(mm/dd/yyyy)
Jasci C. Hoefling 09/08/2023 Alicia M. Hoefling 09/08/2023
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
Kyle Lane Nixon Julianne Whitfill Nixon
Address(number and street) Address(number and street)
645 Bomar Street 645 Bomar Street
City,state,and ZIP Code City,state,and ZIP Code
Hardinsburg, KY 40143 Hardinsburg, KY 40143
Country Country
US US
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 bytyer's primary 0 0 3. Homestead
O 0 residence? Y 0 0 4.Solar Energy Heating or Cooling System
T'
2. Does the buyer have a hom a to bervacated 0 0 6.Wind Power Device
0 for this residence?If yes,provide . , 0 0 6.Hydroelectric Power Device
Address(number and street) 3.4-N 4...,.. 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county �(/�th, ��- 1` , ,-, 6 J-U o3 _000 'I -o2
Under penalties of perjury,I hor4 9. " •- this Sales Disci ,to the best of my knowledge and belief,Is true,correct and complete
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