HomeMy WebLinkAboutHomestead_Holzmeyer f H. PREPARER
Preparer of the Sales Disclosure Form Title
Sarah McDanie's 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 a nce Ee
Cedrick B. Hancock Charlotte L. Hancock
Addr s (number end sire ) /1 i
_ Address rrier and street}
Tatrid �u �025C' sat LIPC 9 t e, and ode ,, r ���/� City, state, and ZIP Cole
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Country Country
US US �Jz , - c' a. ,Uraz
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, comml s a evel 5 fe ny.
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Printed Name of Seller Dale signed (mm/ddty yyy) Printed Nme o elder f ' Date signed (mrn/dd/yyyy)
Cedrick B. Hancock 11/12/2025 Charlotte L. Hancock 11/12/2025
J. BUYER(S)IGRANTEE(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
Nathenlal A. Holzmeyer Alese A. Holzmeyer
Address (number and street) Address (number and street)
3761 North 175 West 3761 North 175 West
City, state, and ZIP Code City, state, and ZIP Code
Patoka, IN 47666 Patoka, IN 47666
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 D E) 3. Homestead
0 O residence? 0 O 4. Solar Energy Heating or Cooing System
2. Does the buyer have a homestead to be vacated 0 O 5. Wind Power Device
for this residence? if yes, provide address: O O 6. Hydroelectric Power Device
Address (number and street) 0 [] 7. Geothermal Energy Heating or Cooling Device
City, state, ZIP code, and county 4 �� 1 ) 1 O 0 _0 0 LI • O G ;1 — O z .
Under penalties of perjury, I hereby certify that this Safes 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 orfalsIffes any information required to be provided, commits a Level 5 felony. (Note: Both spouse's
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