Homestead_Wilson (8) INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
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CHRISTINA LATHAM! TITLE CLERK
Prepare-of the SalarDeclor' eFonn Tide
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Sine) Company
EVANSVIL LE. IN 47715 812-4024553 CHRISTINAOREGIONAL-LT-COM
City,Smx,and VP Code Telephone Number E-ma l•
E.SELLERJS)/GRANTOR(S) - .. - - - • - • - -
Darwin R 7ehnPr
S er1-Name as - of convevanc doe' .en[ $rJle.•2-Name as vppmrs on conveyance document
�ydh . si DI . Gi: I . 1k AIis_
Ad rw(Mrmber ad e> I Adler 2-(Number as appear,on
k�Paaa�c b}1t 1�1 t�7• I -0,3514
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an= a t,ple;e a r-q ired by law,and is prepared in ac ordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
. �_k.d 0 Lt4 J it 1_ A . Alt I
5(gaotL eofSeller Signature ofpene-
Dan•An A 7ehnPr 0 2l� 1
Printed Name or Seiler S(gn Dar(,MM .D/YYY0 Printed Name of Seller Sian Dom ieSynDlrm)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY:.;-. ._:<a"c;:.-
Monte Joe Wilson Emma I..Wilson
Buyer 1-Name as appears o, conveyance document Buyer 2-Name c appears on conveyance document
K Lot3, t-IoD3 k Cc? R3 w LIDD5
(Nu.:Serend s,ee•.) \Address(Number and Speer
!
THE cA!FS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTIES PROPERTY.IDENTIFY ALL OF THOSE THAT AP, tip
YES SO CONDITION I YES / NO CO\T1117ON
1.Will this property be the buyer's primary rLtl-l/ 3.Homestead _////[[,,,,
residence? Provide complete address of primary f 12 4.Solar Energy Heating/C&�tr(tlSvstem
residence,including county: ❑ Is 5.Wind Power Device '' • ti 20P
8048 W SOO R 0 6-Hydroelectl6t(�gw-.r!;, 'ce
Address(Number and Scree) -
N• O 4•..•r;- e
Owe yville. IN 47655 Gibson 7.Geothermal Eneri ( �ie P •
City :ezrPCads t°�"'ry ❑ Q 8.Is this property a residential r6. /property?
Ei 2.Does the r this have a residence? ifte yes, in Indiana to be [] 51 9.Would you like to receive tax state�e?Qfbr this -
comple for this address of a side c ybe,ng vaca property via e-mail?(Provide contact information
complete couress of residence being vacated,
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(;lure er andSeree)
Z1 0- I3-07 - l o o r n i , q'I boa )
My,Sete ZIP Code County
Prim my property mew con coct name E-mail