Homestead_Wilmes INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Amy Pollard Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (
mail
E. SELLER(S)/GRANTOR(S)
Steven L. Lintzenich Kenley L. Lintzenich
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
207 E 780 S 207 E 780 S
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
E- ail
Under penalties of per't!r I, I hereby certify that this Sales Disclos e,to the best of my knowledge and belief, is true,correct
and complete as re ' d by law d is prepared in accordance wi 6-1.1-5.5,, "Real Property Sales D' osure Act".`4/4JIA .6/L—
gSign re of er Signature of Se Or 0
Steven L. Lintzenich 2/26/2020 Kenley L. Lintzenich 2/26/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS T AT APPLY
Arley J.Wilmes David E.Wilmes •
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance doc I
10257 S Pheasant Run 10257 S Pheasant Run •..
Address(Number and Street) Address(Number and Street) 11144)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUC ONS FOR THIS PROPERTY. IDENTIFY ALL OF Tiiop ,,AT APPLY.
T NO CONDITION YE NO CONDITION 10(_itT,
El 1. Will this property be the buyer's primary 0 3. Homestead Cif'
residence? Provide complete address of primary 0 0 4. Solar Energy Heating/Cooling System
residence, including county:
207E 780 S 0 0 5. Wind Power Device
Address(Number and Street) 0 0 6. Hydroelectric Power Device
:Fort Branch, IN 47648 �T Gibson; El- - ----_..-.._. 0 7. Geothermal Energy Heating/Cooling Device
IN
Vy,State ZIP Code, County 0 0 8. Is this property a residential rental property?
�/ 0 2. Does the buyer have a homestead in Indiana to be 0 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
11�11 n ad s of idence being vacated ing county: below. Please see instructions for more information.
Iv L 5, i Q�',�S c,t / Not available in all counties.)
ddress(Numbe and Street) 4--ic, ��� ,b \/n\ �6—/a'/q ddd' 04 a1C✓.��
it,State ZI'Cod ' 0 `—�Co�un Primary property owner contact name E-mail
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