Homestead_Leffler H. PREPARER
Preparer of the Sales Disclosure Form Title
Kris Coon Closing Agent
Company
-
Address(number and street,city,state,country,and ZIP Code)
4600 Washington Ave., Suite 102, Evansville, IN 47714
I. SELLER(S)/GRANTOR(S)
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Jordan Hollander Sarah Hollander
&d[e nu berg si ),. ,, I I Log Address(number and street)
City, �SCI P SCO. 4 ( C9 City,state,an
Country / r Country
r
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 of r �Signat of Seller '
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Ounct
Printed Name of Seller Date sin m /d Printed ame of Seller D
9 l dlyYyy) at ( d�/ yyy)
Jordan Hollander 3 / %/Zli Sarah Hollander `1
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
Ty S. Leffler T
AlteselnurQ 5 an tree (*v Address(number and st IL/ED
C" t rtdertod�g0 4 V t 4f49
City,state,and ZIP Code MAR
(v' � MA 15 2024 (/
Cougtgrr Country
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apply for e �, ' -'ductions.Identify l {that apply:
YES NO CONDITION YES •�� ONDITION
O 1.Will this property be the buyer's primary `�`
3. Homestead
residence? 0 4. Solar Energy Heating or Cooling System
%O ;), —. Does the buyer have a homestead to be vacated 5.Wind Power Device
for this residence?If yes, provide address: 0 1X 6. Hydroelectric Power Device
Address(number and street) 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
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