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Homestead_Wilkerson (19)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 `DcP.REPARER( w� - :IL THOMAS L. MONTGOMERY GENERAL MANAGER Preparer of the Sales Disclosure Form Title 101 PLAZA EAST BLVD., SUITE 102 TRUE TITLE SERVICE.LLC Address(Number and Street) Company EVANSVILLE. INDIANA 47715 812-402-6555 closinosetruetitlein.com City;State and ZIP Code Telephone Number E-mail :.E'...SEL•LER(5)/,GRAN:TOR(S);-a . .__. r`�: __�_ _. ,.._ _�. �- --- --,.�_. .�: .�— ---- -' _— __. .` JAMES E WIl KERSON PAUI A I WIl KERSON Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 512 N FORE)STREET 517 N FORD STREET Address(Number and Street) Address(Number and Street) PRINCETON INDIANA47670 PRINCETON INDIANA47670 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 y I w, nd is prepared in accordance IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ' ignuture of Seller Signature of Seller ,IAMFS F WI1 KFRSON 05/ /0 /2017 PAULA L WILKERSON 05l 10 /2017 Printed Name of Seller Sian Date(MM/DD/1'YYI') Printed Name of Seller Sian Date(MH/DD/YYYY) (F:,BUYER(S)/GRANiFEE(Sy-APPLICATION.F,OR`PROPERTIY-TAX'DEDUCTIONShIDENTIFY(AL'L ITEMSTHATAAP.PEY_s ti TRACEY meal WILKERSON nc � g..�,j Buyer] Name as appears on conveyance document Buyer 2-Name as appears on co nc oc e d ' 512 N. FORD STREET. Address(Number and Street) Address(Number and Street) JUN 6 UN Q 6 2017 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION TA ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 512 N FORD STREET S.Wind Power Device Address(Number and Street) ❑ 17 6.Hydroelectric Power Device PRINCETON, INDIANA 47670 GIBSON ❑ J 7.Geothermal Energy Heating/Cooling Device City,State 7lPCode County ❑ El 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ vi 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. L Not available in all counties.) Address(Number and Street) a6- I J-Or)-3.02 -&03, a 36-Dap TRACEY L.WILKERSON City,State ZIP Code County -- - -Primary property owner contact name E-mail