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Homestead_Wilson (3)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Abbey Moore Closer Preparer of the Sales Disclosure Form Title 3101 N. Green River Road Suite 130 Columbia Title Address(Number and Street) Company Evansville. IN 47715 812-471-8563 abbev0columbiatitlegroup.com City.State,and ZIP Code Telephone Number E-mail E.SELEER(S)%GRANTOR(S)_ . Estate of William M Hill by Personl Reo Russell L Hill seller?-NNo s appears o1nceement Seller 2-Name as appears on conveyance document Ad r (Number and Street) Address(Number and Street) r(116(StO Under penalties of perjury,l 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 repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". do4,2:-Aa/44 fl Signature Jf Seller Signature of Seller Fstate of William M Hill by PR Russell L Hill 6/1/16 Printed Name of Seller Sian Date(M,M/DD/YYY1') Printed Name of Seller Sign Date r.N.¢/DDrrnl ?F:BUYER(S)%GRANTEE(S); AP.PLIGATION FOR PROPERTY^TAX;DEDUCTIONS _IDENTIFY. 'F THAjre[ . " _--_ Robin L.Wilson (6rr p�Jy Buyer l-Name as appears on conveyance document Buyer Name as appears on veyance ocument 6267 North Nixon Road JUN 't C 2916 Address(Number and Street) Address(Number and Street) Hazelton. IN 47640 _ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device ❑ Ei 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8 Is this property a residential rental property? 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) City,State ZIP Code County a(0-05 — � a2 - 003 7s9-0� ' Primary property owner contact name E-mail