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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