Loading...
Homestead_Wilzbacher INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 'D:-PREPARER,k. 1 •,..-tiro_ 1 a v' :''-1 _2, _ .'s. cam.�.. -.Sd., 1 '.: Sec!-. �.n`t'� d"� ]' � -� s-� r S:: �3r :, Steven T.Charles Attorney Preparer of the Sales Disclosure Form Title 417 N.Weinbach Ave., Suite 110 F. Stephen Sheets&Associates Address(Number and Street) Company, Evansville, IN 47711 812-476-2762 scharlestTssheets.corn CO,State,and ZIP Code Telephone Number E-mail ':E?fSEI:EER(s)%GRANTORS ' ,T Zr r cirri- r: R a°' .'d r9,Th Virginia Wibbacher Co-Trustee David W Wilzbacher Co-Trustee Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document t06 S Campbell Ave 508 W St Rd 68 Address(Number and Street) Address(Number and Street) Hauhstadt 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�laww,and is prepared in accordance wit'!C 6-1.1-5.5,"Rea!-Properr Sales Disclosure Act" • Sry"notureaf lcr IL etiP ��� / t _ __ r J - SignatureofSeller ./ Virginia Wilzbarher Co-Trustee 8/28/2014 David W Wibbacher-Co-Trustee 8/28/2014 Printed Name of Seller Sian Date(MM/aDnlYn Printed Name of Seller Sion Date(MM/00/:YYn =6 BUYER(S)/GRANTEE(S) iAP,PBICATIONIEORzPROPERTYTAX'DEDUGTIONSLIDENTIFY!Alit TIEMs3HAT!APPLY6;•, A y:i'alY`;'-r Lawrence G.Wilzbacher Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on cony n e u ent 106 S.Campbell Ave. Address(Number and Street) Address Panther and Street) YES NO CONDITION I GIBSO APP Y AUDITOR YES NO CONDITION IJ ❑ 1.Will this property be the buyer's primary 0 R 3. Homestead residence? Provide complete address of primary residence,including county: ❑ © 4.Solar Energy Heating/Cooling System /06 S Campbell Ave ❑ ig S.Wind Power Device Address(Number and Street) ❑ El 6. Hydroelectric Power Device Haubstadt, IN 47639 it City,State ZIP Code County ❑ 0 7.Geothermal Energy Heating/Cooling Device ❑ Z 2.Does the buyer have a homestead in Indiana to he ID 8. Is this property a residential rental property? vacated for this residence? If yes,provide IJ 71 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) �'1J �/� pX� p� y� {/ Ciry State ZIPCode County `/`'i— IU-3b - 1103 -0c0.50/ Oen