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HomeMy WebLinkAboutHomestead_Barton H. PREPARER Preparer of the Sales Disclosure Form Title Milton Norman - , Settlement Agent Company Address (number and street, city, state, country, and ZIP Code) 25 NW Riverside Drive, Suite 310, Evansville, IN 47708 lib I. SELLERS)/GRANTOR(S) OS _SeI(er 1 — Name as it appears on conveyance document Seller 2 - Name as apoea . -o e a e di ument ®� Mallory A. Hoefling Joshua M. Hoefling Address (number and street) Address (number aiVOktepn 128E795S 128E795S U 2025 City, State, and ZIP Code City, State, ZIP Code 1 Fort Branch, IN 47648 Fort Bra h40,7648 Country Country /$SON CO CO `��v. US us N• r Ai , Email Address . Under penalties of perjury, I hereby certify 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 felorly. Signature o Iler Signed II t 1 Printed Name of Sel r Date Si d ( m/dd/yyyy) Printed Name o Seller Date Signed (mm/dd//yyyy) Mallory A. Hoefling j 7 Joshua M Hoefling I 1 ' J.-< 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 Catherine Barton Jason Barton Address (number and street) Address (number and street) , • 128E795S 128E795S City, State, and ZIP Code City, State, and ZIP Code Fort Branch, IN 47648 Fort Branch, IN 47648 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 buyer's primary ® O 3. Homestead Cg D y residence? O ® 4. Solar Energy Heating or Cooling System J 2. Does the buyer have a homestead to be vacated 0 ® 5. Wind Power Device i for this residence? If yes, provide address: O ® 6. Hydroelectric Power Device - — H Address (number and street) 0 OD 7. Geothermal Energy Heating or Cooling Device City, State, and ZIP Code County j 1 G.&6 '' 1q - 0 .01 . 2-3M - 026. Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct, and complete . .)Page 3