Homestead_Shipley INDIANA SALES DISCLOSURE FORM SDF ID: . • - Page2
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Cart McCandless Manager
Preparer of the Sales Disclosure Form Title
221 NW 5th Street Lockvear Title, LLC
Address(Number and Street) Company
Evansville, IN 47708 812-421-8405 cark@lockveartitle.com
City State,and ZIP Code Telephone Number E-mail
SELLER(S)/ER -72_-_,
-ANT014S)7::: :-.7 -7- -7:1-
Christopher G Wanke
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2697 Teaberry I one
Address(Number and Street) Address(Number and Street)
Vincennes IN 47591
Telephone Number E-mail
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,"Real Property Sales Disclosure Act".
ieft;:ture-f2a-11.
ignure of her Signature of Seller
Christopher G.Wanke 05/15/2013
Printed Name ofSeller Sign Date(ALW/DWITYY) Printed Name of Seller Sian Date(MM/DO/YE?))
;Fil3TIVERISI/GEANtEELS1±:-APPLICATION FOR PROPERTY TAX DEDUCTIONS,1bENtift ACLITNS ITTAttAPtilli,
Donnald G.Shipley_
appears on conveyance document Buyer 2-Name as appears on conveyance document
thol
A wittrolk ?lode-
brec;umber and Str t) Address(Number and Street)
ilf41119
4--7 ip
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES___NO—GONDLIION
_VA 1.Will this property be the buyer's primary (TX] D 3.Homestead
residence? Provide complete address of primary 111 ID 4.Solar Energy Heating/Cooling System •
residence,including county:
gip I on\orit E} 5.Wind Power Device
Address(Number04d Street), ej 6.Hydroelectric Power Device
tc■e(IS kk e C &libco\-) LI El 7.Geothermal Energy Heating/Cooling Device
,State ZIP Code County
Eril 8.Is this property a residential rental property?
4 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
A -/7 o _ ,Loo oez5. oo -
City,State ZIP Code County
Primary property owner contact name E-mail
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,"Real Property Sales Disclosure Act".(Note:
Spouse informati Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bei filed.)
4 -
Signater of Buyer) Signature of Buyer2/Spouse
Donnald G
Number License/ID/Other Number