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Homestead_Hoover INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2 D.PREPARER Linda Wiley Closing Agent Preparer of the Soles Disclosure Form title 501 Main Street Bosse Title Company Address(Number and Street) Company Evansville. IN 47708 812-421-4000 City.State.and ZIP Code Telephone Number E-mall E.SELLER(S)/GRANTOR(S) lames R Wilkerson Lori.1 Wilkerson 1 Seller I•Name as appears on conveyvncedocument Seller Z•Name as appears on conveyance document . 11, Address(Number and Street) Address(Number and Street) (]., I'130t�tL.,SJ:L.�': 1 N L, �1,I5 N-,nn,s:SJt( t LS ( /J L , Za•Ak Lc Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cos, •lete as re, - ' by law,and is prepared in accordance with C 6-.1.15,"Real Pr erty Sales Disclosure Act°. i j . _ , ir e_ i601 /U/ Sig re ofSellerl — '� gnature of Se James R Wilkerson oS.a e-) •� Lori J.Wilkerson 0g e ti 1 3 Printed Name of Seller Sian Date 1MM/t10/171'I Printed Name of Seller Sion Date INH/DD/YYYII • F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Larry B. Hoover Lizbelh D. Hoover Buyer I-Name as appears on conveyance document Buyer?-Nam s appears on convey a document --7-i KH)nfivdq Pr - 115 pJnry 41l r . L Address(Number and Street) yAdd her and Street) Cf 'Brooch Fr'! Ll7b `l 1 lt.+tU't. 1-It 14-11Q1-1; TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. • Y> NO CONDITION YES NO CONDITION U ❑ 1.Will this property be the buyer's primary A ❑ 3. Homestea residence? Provide complete address of primary ❑ ,d 4.Solar Ene g/C n:D, m 3O ) �esidence,including county: ❑ S.Wind Po r I ���JJJJJJ t,h-,AERLANn Sr Addras(Numberanel Street� ❑ t 6.Hydroelectric R ei��vLrufil 3 /'DRT BRANG/,Street...L.. 'P764? V I8 So V ❑ a 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ [a 8.Is this prope • resid 4 - n property? ❑ ❑ 2. Does the buyer have a homestead in Indiana to be t.,, -s 7►AB, ❑ 0/ 9.Would I , ru? d- t tits for this vacated for this residences If yes,provide p p x a s2 v • r- f complete address of residence being vacated, roe m•I . 'ravine con ac In armation including county: below.Please see instructions far more information. Not available in all counties.) / Address(Number and Street) 26-1V-Z y ` - 0Z 00o79 9 O a& City.State ZIP Code County Primary property owner contact name E-mail __/