Homestead_Wilzbacher (6)FORM SDFID:
Laura Rininoer Closina
R'epanrojtheSalaD'udosureform' TiNe �
7820 Eaole Cresi Blvd Ste 201 Reoiona
Addrm(Numbe�and5treet) -'
NIfX1�AS n WPaVEf
Selfer I- Xame aa appmrs on tonvryante documen[
9166 S 100 E
Addrm(,Yurimberand5treet)` �
_FL Branch.IN 4764R
Ciry, Smtq and LPCade
Seller2
as appmn m mnveyanre dacvmen�
E mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
a�c lete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcP'.
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�SignamreoJSel� � Signa[ureof5eller i ,
_Hana Wilzbacher Eihan Muncv
Buyo 1� A'ame as appears on ronveyance davmmc Buyer 2- Name as appears om m�veyunce doaument
211 S Wesi SL 217 S West SL � � U-�
Addreo (Nvm6er and StrtttJ Address (Number and SVeet)
Haubstadt. IN 47639 I Haubstadt. IN 4763
Ciry, Smte, and LP lode Ciry, Smte, and Z1PCode
THE SALFS DISCLOSURE FORA1 MAY BE USED TO APPLV FOR CERTAIY DEOURIOYS FOR TIIIS PROPERTY. IDENTIFY ALL OF THOSE'WAT APPLY.
VES NO CORDITIO\
0✓ � 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
Address (Numberand StreetJ
Haubstadt IN 47639 Gibson
Ciry, Smte LPCode Covnry
❑ �✓ 2. Does the buyer have a homestead in Indiana to be
vaca[ed for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (NUm6er md5treetJ
Ciry, Smce ZlPlode Counry
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3. Homestead"" �O�
4.Solar Energy Heatln
5. Wind Power Device
6. Hydroelectric Power Device
7.Geothermal Energy Heating/Cooling Device
I
8. Is this property a residentlal rental property?
9. Would you like to receive [ae statements for [his
property via e-mail? (Provide [ontat[ information
6elow. Please see instructions for m i re informo don.
Not available in all cauntles.)
-n4,-In�000 ���-009
name
E-mail
Under penal[ies of perjury, 1 hereby certify that this Sales Disclosure, [o the bes[ of my knowledge and belieF, is true, wrrect
and comple[e as required by law, and is prepared in acwrdance with IC 6-1.1•5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's Li[ense/Other numbers are no[ necessary if no Homes[ead Deduction is
bei g filed.)
i�`�CIYI(;� (,�_� t��C�C.�to� � �/1���-�.r
�'Signatureo(Bvyerl 1 1 I Signa Buyer2/Spouse 11 !
Hana Wil�harhPr { l 1��I' �' Fthan M nqy f�/��I ��
Lirense/ID/0[herA'umber Num6er License/!D/OtherNumber