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Homestead_Hulfachor (2)
• • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 CHRISTINA LENFERS CLOSING AGENT Preparer of the Sales Disclosure Form Title 501 MAIN ST STE 101 BOSSE TITLE CO Address(Number and Street) Company EVANSVILLE IN 47708 812-421-4000 City,State,and ZIP Cade Telephone Number E-mail GFRAI f)R WIBERT MARY K WIBERT Seller l-j,am ssappears on-cQnveyance a meet Seller 2-Name as appears on conveyance document 511.t/1/"ll( I��\/ SAME Address tuber and Street) . ILL ,^_ O 10390( Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c plete a re redtby law,and is prepared in accordance with IC 6-1.1-S.5,"Real Property Sales Disclosure Act". 'In 4 r Lti Signature of Seller Signature of Selig GFRAI D R WIRFRT 02/07/2017 MARY K WIBERT 02/07/2017 Printed Name of Seller Sian Date(MAI/Do/YYY11 Printed Name of Seller Sign Date(MM/DD/rrrr) F.BUYER(S)/GRANTEE(5)- APPLICATION.FOR PROPERTYTAX DEDUCTIONS;-115ENTIFY.ALL ITEMS THAT APPLY: - _ . JOSEPH HULFACHOR RACHAEL E. HULFACHOR Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2229 S 950E SAME Address(Number and Street) Address(Number and Street) OAKLAND CITY IN 47660 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE F€BAII''tT 2017 YES NO CONDITION I YES NO CONDITION Eke ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead • residence? Provide complete address of primary ❑ ©' 4.Solar E� .t f' {tt a^o resident cl ding courtgj: n V' 5.Wind Power Device 5.Addre{i(,vum.erpnd5treet)j ei L L.-y_/O b3.dk ❑❑ D"'6.Hydroelectric Power Device Up I(S'Y)LL. –� -1 K��Q L2 7.Geothermal Energy Heating/Cooling Device ^Ciry/,State 71°Code / County al El �" L,t 2.Does the buyer have a homestead in Indiana to be S.Is this property a residential rental property? vacated for this residence? If yes,provide n E 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information I cludina county. below. Please see instructions for more informa don. o2;-dA 5 ' 3 U U rr // Not available in all counties.) bd dress( tuber and Street) /�'jn Ct l�. .rLG , S„1 `t 7(c(ao l ✓✓s- C.- t 3-35 3ab - oz)(:), -iga -Do , City,State ZIP Code County Primary property owner contact name E-mail