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Homestead_Phillips
i/ . / r, ,:SALES DISCLOSURE FORM SDF ID: Page 2 SPARER - .'-` i._ -_.'.;y_, _ ,, ;` - _ •I Bela Moers President v Preparer of the Sales Disclosure Form Title 605 SE Martin Luther King Jr. Blvd. Southwestern Indiana Land Title Address(Number and Street) E-mail SELLER(S)/GRANTOR(S) .'; _ : '' . . _ :: : Tracy R Wolf Carla A.Waelde Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 12447 S Rosetta Drive 6505 Little Schaeffer Road Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 Fvansville IN 47720 City,State,and ZIP Code E-mail hider penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct Ind com lete as required by law,and is repared in accordance with 6-1.1-5.5,"Real Property Sales Disclosure Act". • Y, et_e_.1 Signature ofSeller �9 Signature ofSeller Cl V "racy R.Wolf - Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller g at M/DD/YYYY) BUYER /GRANTTEE(1_-APPLICATION'FOR PROPERTY'-TAX DEDUCTIONS --IDENTIFY ALL ITEMS THAT APPLY Donald L. Phillips Barbara J. Phillips SEP 2 0 2Q19 Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 203 N West Street 203 N West Street Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 Fort Branch, IN 47648 GIBBON COUNTY Al lnl7 GR City,State, E-mail 'HE 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 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 105 N Hull Street ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 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 ❑ Z 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. 203 N West Street Not available in all counties.) Address(Number and Street) I I`�' Fort Branch, IN 47648 Gibson (ICI—I'3^3 6- l02- 000 . LIN•- o 0� City,State ZIP Code County Primary property owner contact name E-mail