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Homestead_Wilzbacher
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ;D P-REPARER .. . _..S . ..--- ._ £ .-, .z._._ZVM.,.'TM: t ,.. _._N..:.,.. ;ter,.,f.a"?r_S.. iW s _ .,. �_ ..'...... _.,� Y Leon C.Stone .President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton. IN 47670 ( E-mail E SELI=ER(S)Ydki KM(SJ_S= .. ..AI_ _RS ?,._ , T . --- WLNEfaltfMln l n gllk - Andrea L Stodghill Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 107 F.Walnut Street Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ianf ompl•to as requi' d b aw,and is repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller / (� rn Signature ofSeller Andrea L. Stodghill 5 1/<3/ U Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/DO/YYYY) :K.BUYER(S)%GRANT.E..E(S).,_APPReAtION FQftMPER ,YTAXDEDUCft)Iif`',7pMitt.;ML ITEMSMT AR M,_ _. `_ _. M Bo Austin Wilzbacher Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears an convey ument 2458 E 950 S Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 E-mail Telephone Numbe C•_�. 6° E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFYALLJ1HOSE THA �JO YES NO CONDITION YES NO CONDITION \�4. Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestea p0 residence? Provide complete address of primary ❑ © 4.Solar Ener `eating/Cooling System residence,including county: '•r 107 E.Walnut Street ❑ 2 5.Wind Ptc*er Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Fort Branch, IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ p 2.Does the buyer have a homestead in Indiana to be El8•Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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. Not available in all counties) Address(Number and Street) 26-18-13-404-000. 542-026 City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number