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Homestead_Holder (3)
H. PREPARER Preparer of the Sales Disclosure Form Title Matthew Jarvis Escrow Officer Company Address(number and street, city, state, country, and ZIP code) 605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713 I. SELLER(S)/GRANTOR(S) Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document Jennifer Lynn Hoffman Douglas Keith Hoffman Address(number and street) Address (number and street) 1259 N Main St. 1259 N Main St. City, State and ZIP Code City, State and ZIP Code Princeton, IN 47670 Princeton, IN 47670 Country Country United States of America United States of America Email Address 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. ignat r of Se er p •igna . ler 1 s_cika.../cID t,ypt‘i K iin:e-1-14 Pri1•-d Na of Sel Date Signed(mm/dd/ Printed ame of Seller Date Signed(mm/dd/yyyy) J-•nifer Ly Hoffman YYYY) Douglas Keith Hoffman 12/23/2024 12/23/2024 J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY Bier 1— a as it appears on conveyance document Buyer 2—Name as it appearsFjcov:) ancc ej�t (Alexander Holder Kynedi Holder 1 / '• • Address number and street) Address (number and street) • 606 E Walnut St. 606 E Walnut St. DEC 2 7 2024 City, State and ZIP Code City, State and ZIP Code Fort Branch, IN 47648 Fort Branch, IN 47648 Country Country GIB SON NCOUNTY AUDITOR • United States of America United States of America d YES NO CONDITION YES NO CONDITION i © ❑ 1. Will this property be t►a?'7 flyer's primary residence? © 0 3. Homestead 3 l 2. Does the buyer hav_ a �:.: be vacated for ❑ 0 4. Solar Energy Heating or Cooling System l this residence? If yes, p�:' d !', : ❑ © 5. Wind Power Device T *3 0 © 6. Hydroelectric Power Device p Address (number and street) . 0 606 E Walnut St. 21,-lq-r$-t04°Qv.2 j ''--02b 0 I✓1 7. Geothermal Energy Heating or Cooling Device Sy City,State, and ZIP Code County % Fort Branch, IN 47648 dO' - / . - 0 4 - /0 O O D/• ,7 -7 4..'O47 I 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 transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.(Note:Both spouse's