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Homestead_Halbig INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ED,Pifg ARQR 1 T-1 ''AkiWi -r : rn-�=-. 3 -a ..,, r-k it Timothy Shea Closing Services Preparer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd Ste 201 Regional Title Services Address(Number and Street) Company Evansville, IN 47715 • ( City,State,and ZIP Code Telephone Number E-mail 1t,E`=-, it4t y l av ` .; t -neri .naaaift iii . ',aat `.. Travis L. Woolems Seller 1-Name as appears on conveyance document Seller I-Name as appears on conveyance document 203 S.Hillcrest Street Address(Number and Street) Address(Number and Street) Ft. Branch, IN 47648 E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and com lete re aired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". nub Signature of Seller Signature of Seller Travis L. Woolems t9e/2//Z9/9 Printed Name of Seller gn Date(MM/DD/flYn Printed Name of Seller Sign Date(MM/DD/m')1 WER(SWGR:4`NT6 GSIg='ARPLIGAtilitiN3FORoP.RORER'RYwTA)ttDEDUCrilIONS4IIDBN� &YA 1L'IiITEIGISIPHAT.FAP.BG`Y Ryan A.Halbbi If Buyert=Aa a as appears on conveypnce dgcument Buyer 2-Name as appears on conveyance document FILED Address (Num.erand Street) Address(Number and St ,ed -iv 0:31 Jun 25 2019 Telephone Number ma THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THI EP RTY. IDENTIFY ALL OF THOSE THAT APPLY. Y ESNO CONDITION 7YES NO CONDITION ( ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.So ar Energy Heating/Cooling System residence,including county: ❑ p 5.Wind Power Device 203 S Hillcrest Street Address(Number and Street) ❑ I1 6. Hydroelectric Power Device Fort Branc ,IN 47648 Gibson ❑ IO LJ 7.Geothermal Energy Heating/Cooling Device City,sm a code County ❑ 8. Is this property a residential rental property? ❑ 2.Does the buyer have a homestead in Indiana to be ❑ Q 9.Would you like to receive tax statements for this vacated for this residence? If yes,provide complete address of residence being vacated, property via e-mail?(Provide contact information including county: below. Pleas ructions or moreinforrnation. Not writable in all counties.) -----,....„\ Address(Number and Street) Ryan A. albig 26-19-18-304-000. 748-026 City,State ZIP Code County Primary prop rty owner contact name s, ark Number License/ID/Other Number