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Homestead_Wilzbacher (7) INDIANA SALES DISCLOSURE FORM SDF ID:
D:PRBPARER Page 2
Kim Loesch Processor
Preparer of the Sales Disclosure Form Title
4962 Lincoln Avenue First Advantage Title
Address(Number and Street) Company
Evansville. IN 47715 (812)490-8485
City,State,and ZIP Code
Telephone Number E-mail
1E.SEI.CER(S)/GRANTOR( --.,•.
Mark S Thomocon Rachel Thomocon f/Rla Ra h I T nbarpe
Seller l-Name as appears on conveyance acumen( Seller g-Name os appe n ronvgeya_nce d/i meat
V� (/ e. ��p c___ ✓ t/A r
Address(Number and treel)Lc. Address(Number and Street)
hereby certify that this Sales Disclosure,to the best oo y edge and belief,is true,correct
and complete as re uired by law,and is prepared in accordance with I • 1.1-5.5,"Real 'roper}'. 518s Disclosure Act".
/rrY�J ��I 11 LU t
Signature of Seller
Sig azure of Seller
Mark S Thompson (0 -Zv- (k> • I -,1
Rachel Thomoson '. , :IMP' ¢ X10 '2.040
Printed Name of Seller Sinn Date MM UD/Im Pnntrd Name Seller AII 110San Date(at.V/Da/Y
:F.'BUYER(SJ'/GRANTEE(SJ._APPLICATION.FOR PROPERTY TAX.DEDUCTIONSL-IDENTer- �1S•THAT-APPLY-- , _
Corey J Wilzbacher Ramona L Wilzbacher
Buyer I-Name oo'r appears on cony nce document Buyer 2-None as appears on conveyance document
Address(I` Arnnd Street)( • O J� Y S L'1 / O
(Number and Street) )---
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
5(
YES NO NO CONDITION I YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
` residence? Provide complete address of primary
© 4.Solar Energy Heating/Cooling System
residence,includin only: 1
4 U esA- t r� Ci- ❑ 0 5.Wind Power Device
Addre s Number dstre t) ❑ 0 6. Hydroelectric Power Device
~�- ��� ����� ❑ 0 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 ❑ 0 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) IQ. `I �s`' .rte
City.State ZIP Cade a.(O- " O - - w q -Dn'j,.es2 Z o-Voct
[aunty
Primacy