Homestead_Hirsch H. PREPARER
Preparer of the Sales Disclosure Form Title
Christa D.Tracey Escrow Officer
Company
Address (number and street, city, state, country, and ZIP code)
605 SE Martin Luther King Jr Boulevard, Evansville IN United States of America 47713
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
Caleb D.Vile Savannah Vile
Address(number and street) Address (number and street)
1358 W. Cloverdale Ct. 1358 W. Cloverdale Ct.
City, State and ZIP Code City, State and ZIP Code
Haubstadt, IN 47639 Haubstadt, IN 47639
Country Country
United States of America United States of America
E-mail address
best of my knowledge and belief, is true,correct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies�� any information required to be provided,commits a Level 5 felony.
Signature f.,Selle �/ - Signature of Seller
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Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller I Date signed(mm/dd/yyyy)
Caleb D.Vile (D")/2 g 60 a� Savannah Vile "7 -2-4.-ZZ
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL T APPLY
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appearsot nc document
Charles Hirsch Tammy Hirsch l
Address(number and street) Address (number and street)
8904 Winery Rd. 8904 Winery Rd. '40 I ����J//
City, State and ZIP Code City, State and ZIP Cow 0202
Wadesville, IN 47638 Wadesville, IN 476343/ "ems \�/
Country Country OVNT
United States of America United States of America YA(/nncLi
used to apply for certain deductions. Identify all of those that apply:
Y NO CONDITION YES O CONDITION
12,-0 1. Will this property be the buyer's primary residence? ❑/3. Homestead
❑ Q 4. Solar Energy Heating or Cooling System
❑ 2. Does the buyer have a homestead to be vacated for ❑ �5. Wind Power Device
this residence? If yes, provide address:
0 Ell/6, Hydroelectric Power Device
Address(number and street) �� 0 ❑.i7V. Geothermal Energy Heating or Cooling Device
City, State,ZIP code,and county
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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 and complete
as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of