Homestead_Tasa Jr H. PREPARER
Preparer of the Sales Disclosure For Title
4. os
♦ 1 A / Title Com•an
Company
Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201, Evansville, IN 47715
I. SELLERS)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on c. ve .n doc •
-
i Rachel Hoffman -
Address(number and street) Address(number and street) F. I
2581 W Susan Drive CS
City,State,and ZIP Code City, State,and ZIP C6de. 04
Princeton, IN 47670 - • ��
Country Country ONim ��
2`v
US ca0
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.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.
Signal e o Se ler Signature of Seller
1ii I"
Prinfed Name of Selle I. • Signed •• of Date Signed(mm/dd/yyyy)
Rachel Hoffman dti i hini 02/08/2024 02/08/2024
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
Randall W.Tasa Jr Heidi L.Tasa
Address(number and street) Address(number and street)
14462 Hwy 41 A 14462 Hwy 41 A
City,State,and ZIP Code City, State,and ZIP Code
Corydon,KY 42406 Corydon, KY 42406
Country Country
US US
YES NO CONDITIONS NO CONDITION
O 1. •
Will this property be the buyer's primary 0 3. Homestead
residence? O ® 4. Solar Energy Heating or Cooling System
®
O .4. 2. 5.Wind Power Device
2. Does the buyer have a homestead to be vacated
for this residence? If yes, provide address: 0 ® 6. Hydroelectric Power Device
Address(number and street) O ® 7. Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County -2 G_)` _t 20 2_b0C{ �I. -ocV-7
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.A person who knowingly and intentionally falsifies the value of
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